Kimberlea Mae McKandles Moore, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1320 N Banks St
Pampa, TX 79065-4106

Phone

(806) 663-2601

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back2Activity Physical Therapy, PLLC

  • Physical Therapist
  • Pampa, TX
  • NPI 1043879018

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1568026557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CHARLES ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653610",
            "telephone_number": "806-663-2602",
            "fax_number": "806-417-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N BANKS ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790654106",
            "telephone_number": "806-663-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKANDLES MOORE",
        "first_name": "KIMBERLEA",
        "middle_name": "MAE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Marin, AAS
• Mark W. Ford, Jr., D.C., P.C. (Live Well Chiropractic)
• Malia Martinez, M.S., CCC-SLP
• Brenda S McCullough, FNP-C
• Cody McGehee
• Edith Mechelay, R.PH.
• Med-Trans Corporation
• Dweepa Mehta
• Melinda J Hiscock MD PA
• Vijay Krishnan Mohan, M.D

• Physical Therapist in Pampa, TX
• Providers in Pampa, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.