Rebecca Northern Moore, PT, DPT, MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6886 Issued in TN

Practice address

210 Creekside Dr
Dickson, TN 37055-2176

Phone

(615) 446-7623

Fax

(615) 446-7624

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Lebanon, TN
  • NPI 1760415848
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1841309440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CREEKSIDE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552176",
            "telephone_number": "615-446-7623",
            "fax_number": "615-446-7624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Physicians Way",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370908102",
            "country_code": "US",
            "telephone_number": "615-443-9911",
            "fax_number": "615-443-9941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 International Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370671762",
            "country_code": "US",
            "telephone_number": "615-224-9862",
            "fax_number": "615-224-9818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "NORTHERN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "PT0000006886",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "PT0000006886",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Million, DPT
• Madison Rae Milton, COTA/L
• Mira Healthcare of Tennessee, PLLC
• Carol D Moore, APRN
• Lewis Currie Moore Jr., DPH
• Tonya R. Moran, FNP
• Crystal Morgan, PSY.D.
• Gustavo Morrice, DDS
• Regina Morris, REGISTERED NURSE
• John CW Morse, MD

• Physical Therapist in Dickson, TN
• Providers in Dickson, TN by specialty
• Physical Therapist in Tennessee

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