Beau Moore

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10912 Issued in LA

Practice address

321 Veterans Memorial Blvd Ste 100
Metairie, LA 70005-3060

Phone

(504) 834-9259

Fax

(504) 834-9281

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.58 of 100Reported as group

Quality

80

Improvement activities

40

Cost

71.94

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Movement Science Center

  • Physical Therapist
  • Metairie, LA
  • NPI 1477554442
  Medicare reassignment NPD
• The Movement Science Center

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1013468677
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1730754433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053060",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053060",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BEAU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Montgomery, OT
• Jeannette M Montgomery
• Savannah Montgomery
• Rodolfo Antonio Montiel Quintero, MD
• Aryel Moore
• Courtlyn Moore, PA-C
• Esperanza Lillian Moore
• Martecha Moore
• Melanie Moore, LPC
• Taylor Moore

• Physical Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.