Alan Douglas Moore, PT, MPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21044 Issued in CA

Practice address

3400 Central Ave Ste 145
Riverside, CA 92506-2161

Phone

(951) 297-3399

Fax

(951) 297-3404

NPI assigned

Apr 23, 2014

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Therapy Network IncorporatedGroup PAC ID 9234022369, 22 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.

• United Therapy Network Incorporated

  • Physical Therapist
  • Corona, CA
  • NPI 1669691051
  Medicare reassignment Care Compare group NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • San Bernardino, CA
  • NPI 1508183518
  NPD
• United Therapy Network Incorporated

  • Physical Therapist
  • Riverside, CA
  • NPI 1629693619
  NPD

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1588084941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 LUTHER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042231",
            "telephone_number": "951-529-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CENTRAL AVE STE 145",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062161",
            "telephone_number": "951-297-3399",
            "fax_number": "951-297-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Magnolia Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793125",
            "country_code": "US",
            "telephone_number": "951-340-0070",
            "fax_number": "951-340-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 Business Center Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083434",
            "country_code": "US",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALAN",
        "middle_name": "DOUGLAS",
        "credential": "PT, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Moon
• Esther Moon, PHARMD
• Matthew Moon
• Vania Kathren Moon
• Pamela Moore-Rached
• Amaris Moore
• Aolana Moore
• Chantel Janiece Moore, BCBA
• Cleonna Moore
• Danielle J. Moore, LCSW

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.