Cheryl Ashlin Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299601 Issued in CA

Practice address

30100 Town Cnter Drive
Suite Yz
Laguna Niguel, CA 92677-2064

Phone

(949) 276-5401

Fax

(949) 276-5403

NPI assigned

Jan 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Roam Physical Therapy Inc

  • Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1306660154
  NPD
• Pack Physical Therapy, Inc.

  • Physical Therapist
  • South Jordan, UT
  • NPI 1336413798
  NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1740870930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE B7",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533140",
            "telephone_number": "949-597-0007",
            "fax_number": "949-597-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TOWN CNTER DRIVE",
            "address_2": "SUITE YZ",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772064",
            "telephone_number": "949-276-5401",
            "fax_number": "949-276-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHERYL",
        "middle_name": "ASHLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tannaz Moghim Dehkordi
• Pegah Mohtashemi
• Pamela Moldauer, LCSW
• Michael Vance Molyneaux, M.D.
• Maria Carolina Montenegro Silva Da Rocha
• Jeanne Lynn Moore, PSYD
• Richard Randolph Moraitis, CADC II, BCPC, CIP
• Michael Douglas Moran, M.D.
• Xiomara Moran
• Kellie Marie Morris, DO

• Physical Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.