Tara Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049006 Issued in NY

Practice address

961 Panorama TRL S
Rochester, NY 14625-2311

Phone

(585) 482-5060

Fax

(585) 512-8372

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Wellness 360 Physical Therapy and Massage PLLCGroup PAC ID 5294142956, 10 clinicians

Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Limitless Physical Therapy PC

  dba BrownStone Physical Therapy

  • Physical Therapy Clinic/Center
  • Victor, NY
  • NPI 1154688281
  Medicare reassignment Care Compare group
• Melissa Clark OT PLLC

  • Occupational Therapist
  • Rochester, NY
  • NPI 1265132567

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1568182962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "049006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Elizabeth Moore, LPN
• Paula Marie Moore, REGISTERED NURSE
• Richard Moore, MD
• Sara D Moore, LMSW
• Shannon Nicole Moore
• Todd Moore, D.D.S.
• Victoria Moore
• Monique Antoinette Moorehead, LPN
• Thomas E. Moose, RPA-C
• Anne Flanagan Moosmann, SLP

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.