Individual provider Active NPI

David M Moore Jr., DPT

  • Sports Physical Therapist
  • Richmond, VA
National Provider Identifier
1790029437
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2305205081 Issued in VA
Practice address
7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373
Phone
(804) 545-4952
Fax
(804) 545-4953
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2305205081 VA Primary

Addresses

Primary practice location

7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373

Mailing address

7650 E Parham Rd
Mob II Suite 120
Richmond, VA 23294-4373
Phone (804) 545-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305205081VAMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1790029437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD",
            "address_2": "MOB II SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944373",
            "telephone_number": "804-545-4952",
            "fax_number": "804-545-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD",
            "address_2": "MOB II SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944373",
            "telephone_number": "804-545-4952",
            "fax_number": "804-545-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305205081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.