Individual provider Active NPI

Michael R. Moore, DPT

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1902348915
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60662480 Issued in WA
Practice address
1200 112TH Ave NE Ste C260
Bellevue, WA 98004-3746
Phone
(425) 313-3055
Fax
(425) 313-3051
NPI assigned
Nov 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 60662480 WA Primary

Addresses

Primary practice location

1200 112TH Ave NE Ste C260
Bellevue, WA 98004-3746

Mailing address

510 8TH Ave NE Ste 320
Issaquah, WA 98029-5436
Phone (425) 313-3055

Other identifiers 1

IdentifierTypeStateIssuer
2069871MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128001664 WA Practitioner - Physical Therapist in Private Practice 0749569200 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

1200 112TH Ave NE
Suite C260
Bellevue, WA 98004-3746
Phone (425) 462-5006

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.84
Improvement activities
40
Cost
70.51

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60662480WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients
Swedish Health Services CurrentSince Feb 6, 2025 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Nov 7, 2016 Accepting new patients
Proliance Surgeons Inc., P.S. Physical Therapist CurrentSince Feb 14, 2025 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Proliance Surgeons Inc P S CurrentSince Feb 14, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Nov 7, 2016 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

510 8th Ave NE
Ste 320
Issaquah, WA 98029

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

17800 Talbot Rd S
Ste D
Renton, WA 98055
Phone (425) 277-9096

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

509 Olive Way
Ste 1011
Seattle, WA 98101
Phone (206) 623-4570

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1902348915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C260",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043746",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60662480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.