Laura Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9350 Issued in SC

Practice address

445A S Blackstock Rd
Spartanburg, SC 29301-3646

Phone

(864) 804-6395

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

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)

Not 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.

• Southeast Sports Chiropractic, LLC

  • Sports Physician Chiropractor
  • Spartanburg, SC
  • NPI 1194005157
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1881131225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KENSINGTON RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445A S BLACKSTOCK RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013646",
            "telephone_number": "864-804-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Moore, RD
• Joshua James Moore, PA-C
• Julia S Moore, LPC
• Kyla Kenyetta Moore, MA, LPCI, CAC-P
• Lashanne E Moore
• Leslie Moore, MD
• Sarah Emilia Moore, PT
• Thomas L Moore, BS
• William Kenneth Moore III, COUNSELOR II, MA
• Richard Emil Moretz, MD

• Massage Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.