Brooke Moore

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63393 Issued in OR

Practice address

1217 Plaza Blvd Ste E
Central Point, OR 97502-2682

Phone

(541) 664-2800

Fax

(541) 664-0555

NPI assigned

Aug 7, 2019

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

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.

• Life Out Loud, LLC

  dba Elevate Physical Therapy Fitness and Performance

  • Physical Therapist
  • Klamath Falls, OR
  • NPI 1952947616
  NPD
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  dba TAI Grants Pass Physical Therapy

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1962488353
  NPD
• Therapeutic Associates Inc

  dba TAI Mt. Ashland Physical Therapy

  • Physical Therapist
  • Ashland, OR
  • NPI 1972589364
  NPD
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1821643685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 PLAZA BLVD STE E",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022682",
            "telephone_number": "541-664-2800",
            "fax_number": "541-664-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Miller, LCSW
• David C Minter
• Rachael Elizabeth Mitchell-Scoggins
• Travis Yancee Molina
• Denise Lynn Montijo
• Gabrielle Moore
• Jedidiah Morgan
• Joseph Sam Moseanko
• Joseph Moseley
• Kathie Ellen Moss

• Physical Therapist in Central Point, OR
• Providers in Central Point, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.