Jon Thomas Moore, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5566 Issued in OR

Practice address

156 Front St NE Ste 180
Salem, OR 97301-3479

Phone

(971) 239-3272

NPI assigned

Dec 17, 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

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.

• The Physical Therapy Project, LLC

  • Physical Therapist
  • Salem, OR
  • NPI 1699438663
  NPD Authorized official
• Physical Therapy Northwest Limited Partnership

  • Rehabilitation Clinic/Center
  • Stayton, OR
  • NPI 1255843355

  Physical Therapist

  NPD (past)
• PT Northwest LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1417934886
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1851574586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 NORMA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061596",
            "telephone_number": "971-239-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 FRONT ST NE STE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013479",
            "telephone_number": "971-239-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JON",
        "middle_name": "THOMAS",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Mooney, RN
• Tracee Nicole Moore-Lewis, EDUCATION SPECIALIST
• Adele Elizabeth Moore, RN
• Ginger Moore
• Jennifer Eileen Moore, QHMP, MA, LPCINTERN
• Kimberly J Moore
• Laura Moore
• Nakeshia Moore
• Roy Allen Moore
• Ryan Moore, M.D.

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.