Jeffrey C. Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30636 Issued in FL

Practice address

2572 W State Road 426 Ste 1080
Oviedo, FL 32765-8300

Phone

(407) 796-5265

Fax

(407) 796-5260

NPI assigned

Oct 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1699145375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 1080",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658300",
            "telephone_number": "407-796-5265",
            "fax_number": "407-796-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 1080",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658300",
            "telephone_number": "407-796-5265",
            "fax_number": "407-796-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT30636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Yadira Montalvo
• Edwin Montanez, ARNP
• Jasmine Marie Montero
• Leonardo Montesso
• Bianca Moon, PA-C
• Lane Moore
• Nicholas Anthony Moore, DDS
• Rene L Morago-Barton, LMHC, LPC
• Jaqueline Morales-Hernandez, RBT
• Natasha Irene Morales, AA

• Physical Therapist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.