Shannon Marie Moore, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20288 Issued in FL

Practice address

1000 Tandal PL
Knightdale, NC 27545-8842

Phone

(804) 269-0350

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shannon.moore7@genesishcc.com

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.

• Transnota Inc

  dba Therapy Station

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1093928343

  Physical Therapist

  NPD (past)
• Transnota Inc

  dba Therapy Station

  • Developmental Therapist
  • Tampa, FL
  • NPI 1619617040
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1750419909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OAKEN PL",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397773",
            "telephone_number": "813-486-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TANDAL PL",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458842",
            "telephone_number": "804-269-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 Westwood Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262345",
            "country_code": "US",
            "telephone_number": "813-486-7903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Falls River Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276147772",
            "country_code": "US",
            "telephone_number": "804-269-0350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6509 Tryon Road",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27518",
            "country_code": "US",
            "telephone_number": "804-269-0350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "20288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannon.Moore7@genesishcc.com",
            "affiliation": "N",
            "address_1": "116 Oaken Pl",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275397773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Nyaboke Momanyi, LCAS-A
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• Dennis Mongare
• Holley Bridges Monroe
• Kaitlin Montgomery
• Grace Mordi
• Morris Insight Counseling
• Michael A. Moverman, MD, MS
• MRH Counseling and Behavioral Health Services PLLC
• Sajdah Muhammad-Myers

• Physical Therapist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.