Sarah Raeann Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021329 Issued in IL

Practice address

211 S Curtis St
Lake Geneva, WI 53147-2052

Phone

(262) 248-3145

NPI assigned

Aug 27, 2012

Last updated

Feb 2, 2016By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1730437534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FRANKLIN ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083410",
            "telephone_number": "815-978-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CURTIS ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531472052",
            "telephone_number": "262-248-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SARAH",
        "middle_name": "RAEANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12050-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kate Mizelle, APNP
• Tiffany Mo, DMD
• Ashlie Moelter
• Mark Joseph Mohapp, LCSW, CSAC
• Anne-Marie Montemayor
• Alexandria Hope Moran
• Emma Mortensen
• Andrew C. Morton, MD
• Multicultural Health and Wellness, PLLC
• Timothy J Murray, MD

• Physical Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.