Roger Eli Mora

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2160415 Issued in TX

Practice address

7000 Parkwood Blvd Ste D300
Frisco, TX 75034-7455

Phone

(972) 232-2227

NPI assigned

Jan 10, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1588378939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PARKWOOD BLVD STE D300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347455",
            "telephone_number": "972-232-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 PARKWOOD BLVD STE D300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347455",
            "telephone_number": "972-232-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "ROGER",
        "middle_name": "ELI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2160415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roger@ircclinic.com",
            "affiliation": "N",
            "address_1": "7000 Parkwood Blvd Ste D300",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750347455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deajunic Moore
• Grant Moore
• Jamie L Moore, PMHNP-BC, DNP
• Jerry Leo Moore Jr.
• Lauren Moore, LPC
• Andrew Henry Morchower, M.D.
• Sara Moreno Retana
• Josue Moreno, MT-BC
• Susan Rosemary Moreno
• Morgan a H Medical

• Physical Therapy Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.