Active NPI
Klaire Phillips Moore, DPT
- Physical Therapist
- Madison, AL
National Provider Identifier
1649875196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10108
- Practice address
- 8475 Wann Drive
Madison, AL 35758 - Phone
- (256) 704-1700
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH10108 | AL | Primary |
Addresses
Primary practice location
8475 Wann Drive
Madison, AL 35758
Mailing address
13606 Rising Run Cir
Athens, AL 35613-8364
Phone (256) 777-2507
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 |
|---|---|---|---|
| PTH10108 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rekreate Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients |
Locations
22454 US Highway 72
Ste 200
Athens, AL 35613
Phone (256) 233-2332
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
8475 Wann Dr NW
Madison, AL 35758
Phone (256) 539-2738
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Athens, AL
- NPI 1760177711
Physical Therapist
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1649875196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13606 RISING RUN CIR",
"city": "ATHENS",
"state": "AL",
"postal_code": "356138364",
"telephone_number": "256-777-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8475 WANN DRIVE",
"city": "MADISON",
"state": "AL",
"postal_code": "35758",
"telephone_number": "256-704-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KLAIRE",
"middle_name": "PHILLIPS",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.