Individual provider Active NPI

Karen Jean Moore, PT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1730413360
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2572 Issued in NC
Practice address
121 Racine Dr
Wilmington, NC 28403-8705
Phone
(910) 452-4070
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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 2572 NC Primary

Addresses

Primary practice location

121 Racine Dr
Wilmington, NC 28403-8705

Mailing address

121 Racine Dr
Wilmington, NC 28403-8705
Phone (910) 452-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000825 NC Practitioner - Physical Therapist in Private Practice 8426956764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Therapy Franchising LLCGroup PAC ID 8527489582, 17 clinicians

Practice addresses (Care Compare)

530 Causeway Dr
Suite B6
Wrightsville Beach, NC 28480-1954
Phone (910) 509-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2572NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients
At Home Therapy Franchising, LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
At Home Therapy of Wilmington, Inc. Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Physical Therapy for Women, Inc Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Aug 25, 2025 Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

1630 Military Cutoff Rd
Ste 110
Wilmington, NC 28403
Phone (910) 798-2318

530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810

530 Causeway Dr
Ste B3
Writsvlle Bch, NC 28480
Phone (910) 509-2810

Organizations & group practices 6

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1730413360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038705",
            "telephone_number": "910-452-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RACINE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038705",
            "telephone_number": "910-452-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.