Beth K Moore, PT, DPT, ATC
Individual provider Active NPI Physical Therapist · Haleyville, AL
NPI 1578879482 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1578879482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH5265 (AL)
- Practice address
- 42445 Highway 195 East
Village East Shopping Center
Haleyville, AL 35565 - Phone
- (205) 486-8811
- Fax
- (205) 486-8812
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Rehabilitation, Inc
Practice addresses (Care Compare)
2515 Avalon Ave
Muscle Shoals, AL 35661-3129
Phone (256) 383-6676
42465 Hwy 195
Haleyville, AL 35565-7052
Phone (205) 486-2753
499 Gloster Creek VLG
Suite F1
Tupelo, MS 38801-4705
Phone (662) 269-8006
5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130328000164 | AL | Practitioner - Physical Therapist in Private Practice | 3870738503 | Reassigns benefits to 2 organizations |
| I20251201001014 | MS | Practitioner - Physical Therapist in Private Practice | 3870738503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH5265 | AL | MD | Physical Therapist |
| 1052 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current |
Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Alabama LLC | Current |
Accepting new patients | |
| Drayer Physical Therapy-Alabama, LLC | Physical Therapist | Current |
Accepting new patients |
| Encore Rehabilitation, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
651 Main St
Ste 119
Gardendale, AL 35071
Phone (205) 608-3113
2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790
42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753
42445 Highway 195
Haleyville, AL 35565
Phone (205) 486-8811
1500 Military St S
Ste 11
Hamilton, AL 35570
Phone (205) 952-9065
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
87 19th St W
Ste 100
Jasper, AL 35501
2515 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 383-6676
21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410
15041 Highway 43
Russellville, AL 35653
Phone (256) 331-0070
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
499 Gloster Creek Vlg
Ste F1
Tupelo, MS 38801
Phone (662) 269-8006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1052 | AL | |
| Physical Therapist | 225100000X | PTH5265 | AL | Yes |
Addresses
Primary practice location
42445 Highway 195 East
Village East Shopping Center
Haleyville, AL 35565
Mailing address
42445 Highway 195 East
Village East Shopping Center
Haleyville, AL 35565
Phone (205) 486-8811
Other providers in Haleyville, AL
- Jamey A Mays III
- Rahe K. McCandless
- Jenny Lynn McCullar
- Sabrina McGuire
- Mid-South Anesthesia Service
- Karen L Moore
- Michael N. Moore
- More Than Words Speech Pathology Services, LLC
- Julie Michelle Murray
- Northside Pharmacy, LLC
All providers in Haleyville, AL · Physical Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.