Individual provider Active NPI

Austin Moore, PT, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1609573120
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22025 Issued in NC
Practice address
1130 N Church St Ste 100
Greensboro, NC 27401-1041
Phone
(336) 375-2300
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22025 NC Primary

Addresses

Primary practice location

1130 N Church St Ste 100
Greensboro, NC 27401-1041

Mailing address

986 Mt Carmel Church Rd
Troy, NC 27371-1993
Phone (910) 573-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211000893 NC Practitioner - Physical Therapist in Private Practice 8426584673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Walmart Supercenter
Siler City, NC 27344-6756

120 William Penn PLZ
Durham, NC 27704-2150

986 Mt Carmel Church Rd
Troy, NC 27371-1993

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22025NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physical Therapist CurrentSince Oct 4, 2025 Accepting new patients
Proptnc,LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Emergeortho PA CurrentSince Oct 4, 2025 Accepting new patients

Locations

10102 S Main St
Ste S
Archdale, NC 27263
Phone (336) 307-3015

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

3230 Randleman Rd
Ste A
Greensboro, NC 27406
Phone (336) 510-3915

3200 Northline Ave
Ste 200
Greensboro, NC 27408
Phone (336) 544-3905

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

112 Walmart Supercenter
Siler City, NC 27344
Phone (919) 799-2216

Interoperability endpoints

  • Direct secure messaging: austin.moore.1@847.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1609573120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 MT CARMEL CHURCH RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273711993",
            "telephone_number": "910-573-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011041",
            "telephone_number": "336-375-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.