Chris Lawrence Moore, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501012530 Issued in MI

Practice address

1705 Pyle Dr
Kingsford, MI 49802-1143

Phone

(906) 774-2900

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Motion Physical Therapy Clinic, P.C.Group PAC ID 0042310062, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Back in Motion Physical Therapy Clinic, P.C.

  • Orthopedic Physical Therapist
  • Kingsford, MI
  • NPI 1871799775
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1952503229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021143",
            "telephone_number": "906-774-2900",
            "fax_number": "906-774-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 PYLE DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021143",
            "telephone_number": "906-774-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRIS",
        "middle_name": "LAWRENCE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501012530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Jon McGuire, DDS
• Timothy Joseph McGuire, PT
• Andrew William Mendina, ATC
• Josephine Michna
• Holly J Mitchell
• Shaela Morin
• Debra K Newman
• Gary J Newman
• NHH Vision Group, S.C.
• Shelley Nichols

• Orthopedic Physical Therapist in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.