Individual provider Active NPI

Brandon Moore, PT, DPT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1932845880
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1360204 Issued in TX
Practice address
5000 Long Prairie Rd Ste 200
Flower Mound, TX 75028-2783
Phone
(214) 222-6699
Fax
(214) 222-6691
NPI assigned
May 12, 2022
Last updated
May 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 1360204 TX Primary

Addresses

Primary practice location

5000 Long Prairie Rd Ste 200
Flower Mound, TX 75028-2783

Mailing address

410 Post Oak Dr
Highland Village, TX 75077-6824
Phone (214) 998-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320003377 TX Practitioner - Physical Therapist in Private Practice 5496192866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

966 N Garden Ridge Blvd
Suite 530
Lewisville, TX 75077-2876
Phone (972) 420-6605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Flower Mound Hospital Partners, LLC PastSince May 16, 2022 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 151
Arlington, TX 76014
Phone (817) 472-8383

3733 N Josey Ln
Ste 100
Carrollton, TX 75007
Phone (972) 395-7445

966 N Garden Ridge Blvd
Ste 530
Lewisville, TX 75077
Phone (972) 420-6605

1010 N Belt Line Rd
Ste 102
Mesquite, TX 75149
Phone (972) 288-2400

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 3

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1932845880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 POST OAK DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776824",
            "telephone_number": "214-998-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282783",
            "telephone_number": "214-222-6699",
            "fax_number": "214-222-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRANDON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.