Stephanie Michelle Moore

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6375 Issued in NC

Practice address

11618 US Hwy 70 W Ste 100
Clayton, NC 27520-2276

Phone

(919) 373-2000

NPI assigned

Mar 27, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9643/brand/1/csg/1/fhir/r4

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.

• Carolina Spine and Disc Center

  • Family Medicine Physician
  • Clayton, NC
  • NPI 1851719397
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1609371285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W STE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W STE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-373-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chareen Riley Monk, M.ED., CCC-SLP
• Eric David Montijo, PHARMD
• Edward E. Moody Jr., PH.D.
• Carrie Moore, LCSW
• Kayla Moore
• Mooring & Mooring, DDS, PA
• Christopher Sean Mooring, D.D.S.
• Michael Robert Moreland, PT
• Jim Moretz, PHD, LMBT
• Antoinette H Morgan, MS CCC-SLP

• Physical Therapy Assistant in Clayton, NC
• Providers in Clayton, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.