Individual provider Active NPI

Rachel Lea Moore, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1902156540
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11863 Issued in CO
Practice address
20981 E Smoky Hill Rd Ste a
Aurora, CO 80015-5189
Phone
(720) 870-8900
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11863 CO Primary

Addresses

Primary practice location

20981 E Smoky Hill Rd Ste a
Aurora, CO 80015-5189

Mailing address

20981 E Smoky Hill Rd Ste a
Aurora, CO 80015-5189
Phone (720) 870-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171222001282 AZ Practitioner - Physical Therapist in Private Practice 0244482602 Reassigns benefits to 1 organization
I20191018001890 MT Practitioner - Physical Therapist in Private Practice 0244482602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11863COMDProfessional Counselor
13426AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Oct 1, 2019 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 24, 2017 Accepting new patients
Body Image Physical Therapy & Fitness P.C. Physical Therapist PastSince Mar 13, 2022 Accepting new patients
Ideal Rehabilitation LLC PastSince Oct 24, 2017 Accepting new patients
Mountain States Hand and Physical Therapy, Inc. Physical Therapist PastSince Nov 8, 2013 Accepting new patients

Locations

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

1610 Ellis St
Ste 2A
Bozeman, MT 59715

3406 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachel.moore.1@12906.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1902156540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20981 E SMOKY HILL RD STE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155189",
            "telephone_number": "720-870-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20981 E SMOKY HILL RD STE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155189",
            "telephone_number": "720-870-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RACHEL",
        "middle_name": "LEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.