Adam M Moore, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4075 Issued in MS

Practice address

276 Nissan Parkway
Suite 400, BLDG. F
Canton, MS 39046-7006

Phone

(601) 859-3776

Fax

(601) 859-3778

NPI assigned

Aug 23, 2006

Last updated

Jul 20, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Drayer Physical Therapy Institute LLC

  dba Rehab At Work

  • Physical Therapist
  • Columbus, MS
  • NPI 1073859807
  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Medicomp, Inc

  dba Medicomp Physical Therapy Jackson

  • Physical Therapist
  • Jackson, MS
  • NPI 1144338070
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1952417537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BROOKMOORE DRIVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39705",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NISSAN PARKWAY",
            "address_2": "SUITE 400, BLDG. F",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467006",
            "telephone_number": "601-859-3776",
            "fax_number": "601-859-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Testing Laboratories, LLC
• Darling Sharee Mitchell
• Caitlyn Mizelle, MS, CCC-SLP
• Jerri Lynne Molder, OTR/L
• Maria Moman Moman, M.D.
• Claudia Lafaye Moore, PA
• Rebecca Truelove Moore, FNP-BC
• Ruth Morgan, DDS
• Kasie Morris
• Rose Maria Morris, NP

• Physical Therapist in Canton, MS
• Providers in Canton, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.