Chad a Moore PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6193 Issued in AZ

Legal business name

CHAD A MOORE PT LLC

Doing business as

Moore Physical Therapy

Practice address

3819 E Foxtail Dr
Flagstaff, AZ 86004-7697

Phone

(928) 225-0287

NPI assigned

Nov 20, 2006

Last updated

Nov 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad A Moore, PTNPI 1649344417

Title

Physical Therapist

Phone

(928) 225-0287

Specialties & licenses 1

Addresses

Other names 1

• Moore Physical Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad A Moore, P.T.

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1649344417
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1942374723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 E FOXTAIL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047697",
            "telephone_number": "928-225-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 E FOXTAIL DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047697",
            "telephone_number": "928-225-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD A MOORE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-225-0287",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Iris Chaconas, DNP
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• Kerry Chapley, NP

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.