Randale Moore

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1111 Baker St
Costa Mesa, CA 92626-4138

Phone

(949) 836-5239

Fax

(949) 301-9608

NPI assigned

May 21, 2019

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cuirim Sports Physical Therapy IncGroup PAC ID 4082027537, 5 clinicians

Bay Rehabilitation IncGroup PAC ID 4082790506, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bay Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Montebello, CA
  • NPI 1063570653
  Medicare reassignment Care Compare group NPD
• Cuirim Sports Physical Therapy Inc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1801435193
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1972160414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40418 CLYBOURNE CIR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264138",
            "telephone_number": "949-836-5239",
            "fax_number": "949-301-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RANDALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Moneak Montoya
• Zaire Rochelle Moodie
• Brianna Moody
• Raven Jager Moon
• Bryan Moore, LVN
• Christine Moorefield
• Adrian Mora
• Alyssa Monaye Mora
• Ailyn Morales
• David Morales

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.