Active NPI
Montana Moore, DPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP036860T
- Practice address
- 1680 W Irvington Rd Ste 130
Tucson, AZ 85746-4174 - Phone
- (520) 623-5551
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP029799T | NC | |
| Physical Therapist | 225100000X | PT019879 | OH | |
| Physical Therapist | 225100000X | CP036860T | AZ | Primary |
Addresses
Primary practice location
1680 W Irvington Rd Ste 130
Tucson, AZ 85746-4174
Mailing address
2219 Southlea Dr
Dayton, OH 45459-3640
Phone (937) 681-4676
Other practice location 1
500 E Business Way
Cincinnati, OH 45241-2374
Phone (513) 389-3666
Other practice location 2
775 W Corbett Ave Ste 2
Swansboro, NC 28584-8563
Phone (910) 332-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP029799T | NC | MD | Physical Therapist |
| PT019879 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
8820 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 829-7741
1680 W Irvington Rd
Tucson, AZ 85746
1680 W Irvington Rd
Ste 130
Tucson, AZ 85746
Phone (520) 623-5551
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
253 New Market Ctr
Boone, NC 28607
Phone (828) 386-1719
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525
1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682
Interoperability endpoints
- montana.moore.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 8
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.
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapist
- Ooltewah, TN
- NPI 1356894604
-
- Physical Therapist
- Raleigh, NC
- NPI 1740605096
-
- Physical Therapist
- Tucson, AZ
- NPI 1699405050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1639801731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 SOUTHLEA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593640",
"telephone_number": "937-681-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 W IRVINGTON RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857464174",
"telephone_number": "520-623-5551"
}
],
"practiceLocations": [
{
"address_1": "500 E Business Way",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452412374",
"country_code": "US",
"telephone_number": "513-389-3666",
"fax_number": "513-389-3665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 W Corbett Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Swansboro",
"state": "NC",
"postal_code": "285848563",
"country_code": "US",
"telephone_number": "910-332-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "MONTANA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP029799T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019879",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP036860T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.