Active NPI
Karen Jean Moore, PT
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2572 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| At Home Therapy Franchising, LLC | Physical Therapist | Current | Accepting new patients |
| At Home Therapy of Wilmington, Inc. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy for Women, Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | 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.
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Physical Therapist
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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.