Individual provider Active NPI

Timothy Adam Moore, PT, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1942665559
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7901 Issued in AL
Practice address
7242 Bailey Cove Rd SE
Huntsville, AL 35802-2746
Phone
(205) 478-4418
Fax
(205) 478-4418
NPI assigned
Dec 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 PTH7901 AL Primary

Addresses

Primary practice location

7242 Bailey Cove Rd SE
Huntsville, AL 35802-2746

Mailing address

7242 Bailey Cove Rd SE
Huntsville, AL 35802-2746
Phone (205) 478-4418

Other practice location 1

7721 Airport Blvd Ste E120
Mobile, AL 36608-5052
Phone (251) 631-3680

Other practice location 2

209 Fitness Way
Suite D
Athens, AL 35611-2451
Phone (256) 233-9148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH7901ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Aug 13, 2023 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Oct 1, 2018 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist Past Accepting new patients

Locations

22454 US Highway 72
Ste 200
Athens, AL 35613
Phone (256) 233-2332

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

16390 Highway 72
Rogersville, AL 35652
Phone (256) 233-2332

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1942665559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7242 BAILEY COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022746",
            "telephone_number": "205-478-4418",
            "fax_number": "205-478-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 BAILEY COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022746",
            "telephone_number": "205-478-4418",
            "fax_number": "205-478-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7721 Airport Blvd Ste E120",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366085052",
            "country_code": "US",
            "telephone_number": "251-631-3680",
            "fax_number": "251-631-3681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Fitness Way",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112451",
            "country_code": "US",
            "telephone_number": "256-233-9148",
            "fax_number": "256-233-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-24",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.