Moore Performance Health Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOORE PERFORMANCE HEALTH SERVICES LLC

Practice address

14075 Terrace CT
Plymouth, MI 48170-3748

Phone

(734) 658-2091

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gregory M Moore, DPTNPI 1508162660

Title

Physical Therapist

Phone

(734) 658-2091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory M Moore, DPT

  • Physical Therapist
  • Livonia, MI
  • NPI 1508162660
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory Scott Edward, PT

  • Physical Therapist
  • Livonia, MI
  • NPI 1932285673
  Medicare reassignment Care Compare group NPD
• Trevor Robert Elliott, DPT

  • Physical Therapist
  • Troy, MI
  • NPI 1205541182
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1851146005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 TERRACE CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703748",
            "telephone_number": "734-658-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 TERRACE CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703748",
            "telephone_number": "734-658-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PERFORMANCE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-658-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulysses Monroe
• Timothea Monroy, BSW
• Diana Montellano
• Lisa Montgomery
• Dawn Montroy
• Alayna Moore
• China Moore
• Jaymin Alexander Moore
• Melanie Moore, PA-C
• Rebeca Moore

• Physical Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.