Individual provider Active NPI

Tomi Jo Moore, PT

  • Physical Therapist
  • Springfield, KY
National Provider Identifier
1922984202
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004452 Issued in KY
Practice address
111-B Lincoln Park Rd
Springfield, KY 40069
Phone
(859) 481-9008
Fax
(859) 481-9008
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 004452 KY Primary

Addresses

Primary practice location

111-B Lincoln Park Rd
Springfield, KY 40069

Mailing address

111-B Lincoln Park Rd
Springfield, KY 40069
Phone (859) 481-9008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002664 KY Practitioner - Physical Therapist in Private Practice 9436655578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Physical Therapy LLCGroup PAC ID 0941445852, 6 clinicians

Practice addresses (Care Compare)

1113 B Lincoln Park Rd
Springfield, KY 40069-9573
Phone (859) 481-9008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004452KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Physical Therapy LLC Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients
Springfield Physical Therapy, LLC Physical Therapist PastSince Aug 14, 2025 Accepting new patients

Locations

1113B Lincoln Park Rd
Springfield, KY 40069
Phone (859) 481-9008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1922984202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-B LINCOLN PARK RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "40069",
            "telephone_number": "859-481-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-B LINCOLN PARK RD",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "40069",
            "telephone_number": "859-481-9008",
            "fax_number": "859-481-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TOMI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.