Shawn Moore

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

35 Bel Aire Dr
Newport, VT 05855-4953

Phone

(802) 334-2878

NPI assigned

Jul 22, 2016

Last updated

Jul 22, 2016By the provider in NPPES

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

Enrolled in VT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fitness Elite Physical Therapy LLC

  • Physical Therapist
  • Newport, VT
  • NPI 1487370102
  Medicare reassignment NPD Authorized official
• Freedom Physical Therapy, P.C

  • Physical Therapist
  • Newport, VT
  • NPI 1073717112
  Medicare reassignment NPD

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1912350158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEL AIRE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEL AIRE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554953",
            "telephone_number": "802-334-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Christine Militello, PT, DPT
• Alyssa Miller
• Mindful Pathways LLC (Mindful Pathways)
• Shawn Molina
• Janet Monette, LCMHC
• Thomas Addis Emmet Moseley III, M.D.
• Analesa Mary Margaret Muir
• Shannon Elizabeth Murphy-Miller, FNP-BC
• Nelson S Haas MD PC
• New Insights Counseling, LLC

• Physical Therapist in Newport, VT
• Providers in Newport, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.