Marquita Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT131029 Issued in TX

Practice address

100 E 15TH St Ste 117
Fort Worth, TX 76102-6522

Phone

(682) 305-4882

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marquita Reynolds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pressed Massage Therapy LLC

  • Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1831895804
  NPD Authorized official

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1679179014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HENDERSON ST APT 1206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023586",
            "telephone_number": "682-305-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 15TH ST STE 117",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761026522",
            "telephone_number": "682-305-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARQUITA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT131029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARQUITA",
            "last_name": "REYNOLDS",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Moore, NP
• Kristi K Moore, S.L.P.
• Krystal Heaton Moore, DDS
• Latreace Moore
• Mackenzie Lynn Moore, MPAS, PA-C
• Michael Taylor Moore, D.D.S.
• Morgan Lane Moore, CSC, LPC-ASSOCIATE
• Paul David Moore, CRNA
• Paul Joseph Moore, LCDC
• Phyllis Ann Moore, FNP

• Massage Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.