Individual provider Active NPI

John Christopher Moore, PT

  • Physical Therapist
  • Jonesborough, TN
National Provider Identifier
1609387034
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16414 Issued in TN
Practice address
806 E Jackson Blvd Ste 15
Jonesborough, TN 37659-1536
Phone
(423) 753-2805
NPI assigned
Oct 12, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21515 NC
Physical Therapist 225100000X 16414 TN Primary

Addresses

Primary practice location

806 E Jackson Blvd Ste 15
Jonesborough, TN 37659-1536

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5846

Other practice location 1

2913 Boones Creek Rd Ste 1
Johnson City, TN 37615-4997
Phone (423) 232-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220902001766 NC Practitioner - Physical Therapist in Private Practice 5395129787 Reassigns benefits to 1 organization
I20250808002499 TN Practitioner - Physical Therapist in Private Practice 5395129787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

806 E Jackson Blvd
Suite 15
Jonesborough, TN 37659-1536
Phone (423) 753-2805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21515NCMDPhysical Therapist
16414TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Jul 14, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2001 N Church St
Ste 230
Greensboro, NC 27405
Phone (336) 275-1711

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

2913 Boones Creek Rd
Ste 1
Johnson City, TN 37615
Phone (423) 232-0688

806 E Jackson Blvd
Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1609387034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E JACKSON BLVD STE 15",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591536",
            "telephone_number": "423-753-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Boones Creek Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376154997",
            "country_code": "US",
            "telephone_number": "423-232-0688",
            "fax_number": "423-232-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.