Individual provider Active NPI

Klaire Phillips Moore, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1649875196
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10108 Issued in AL
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

Updated by the provider on Mar 8, 2024

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 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

LicenseStateTypeSpecialty
PTH10108ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rekreate Physical Therapy LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Aug 13, 2023 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.