Melanie Alexandra Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39646 Issued in FL

Practice address

11870 W Sr-84
#C3
Davie, FL 33325

Phone

(954) 474-3611

NPI assigned

Nov 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Mobile Rehab LLCGroup PAC ID 0749660801, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dynamic Mobile Rehab LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1356086961
  Medicare reassignment Care Compare group NPD
• Atlantic Rehabilitation Center

  • Rehabilitation Practitioner
  • Davie, FL
  • NPI 1003973967
  Medicare reassignment NPD
• Atlantic Rehabilitation Center

  • Rehabilitation Practitioner
  • Aventura, FL
  • NPI 1366509200
  NPD
• Edge Diagnostics

  • Multi-Specialty Clinic/Center
  • Cape Coral, FL
  • NPI 1366254211
  NPD (past)

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1720798291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 W SR-84",
            "address_2": "#C3",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "954-474-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17900 NW 5th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292809",
            "country_code": "US",
            "telephone_number": "954-367-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16249 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331604300",
            "country_code": "US",
            "telephone_number": "305-405-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELANIE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie@atlanticrehabcenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Correspondence",
            "address_1": "11870 W SR-84",
            "address_2": "#C3",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erick Andres Monzon Mosquera
• Alexandria Moore
• Danielle P Moore, DC
• Joshua Warren Moore, MD
• Lewis Don Moore, LCSW
• Jessica Mora Gonzalez
• Camila Mora
• Flora Mora
• Angie Morales
• Devin Alexis Morales

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.