Jason Wayne Moore, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9304 Issued in OH

Practice address

2021 Columbus Ave
Washington Court House, OH 43160-9094

Phone

(740) 333-7848

Fax

(740) 333-1212

NPI assigned

Feb 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advantage Physical Therapy LLC

  • Physical Therapist
  • Wshngtn CT HS, OH
  • NPI 1821217563
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790826675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 STATE ROUTE 187",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409625",
            "telephone_number": "740-852-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 COLUMBUS AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609094",
            "telephone_number": "740-333-7848",
            "fax_number": "740-333-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT9304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2572943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lynne Miller, MSN, FNP-BC, CPEN
• Tara M Miller, CDCA
• Mindful Healing and Behavioral Solutions
• Misken Consulting Inc
• Darci Moore, CNP
• More Life Chiropractic
• Jeannette M Morgan, MD
• Cynthia Morris, DO
• Lisa M Motz, ATC
• Alexander Delano Murphy, QMHS

• Physical Therapist in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.