Richard Eugene Moore Jr., MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202139 Issued in VA

Practice address

4416 Ivy Commons
Charlottesville, VA 22903-7123

Phone

(434) 249-3756

NPI assigned

May 4, 2007

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

Other names 1

• Mr. Richard Eugene Moore Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1588876247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BEACON HL",
            "city": "AFTON",
            "state": "VA",
            "postal_code": "229209600",
            "telephone_number": "434-249-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 IVY COMMONS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037123",
            "telephone_number": "434-249-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "MOORE",
            "middle_name": "EUGENE",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "MPT, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Moore, DDS
• Karen Barbara Moore, MHS. PT
• Madyson Taylor Moore
• Marina Moore
• Marta J Moore, AC -PNP
• Sean R Moore, MD
• Sheri Ann Moore, RDH
• Victoria Anne Moore, LPC
• Joseph R. Moorman, M.D.
• Liza Prudente Moorman, N.P.

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.