Active NPI
Carl Moore, PHYSICAL THERAPIST
- Physical Therapist
- Tuskegee, AL
National Provider Identifier
1972610400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH938
- Practice address
- 2400 Hospital Road
Tuskegee, AL 36083 - Phone
- (334) 727-0550
- Fax
- (334) 725-3074
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH938 | AL | Primary |
Addresses
Primary practice location
2400 Hospital Road
Tuskegee, AL 36083
Mailing address
P.O. Box 1042
Tuskegee Institute, AL 36087
Phone (334) 727-0550
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH938 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972610400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1042",
"city": "TUSKEGEE INSTITUTE",
"state": "AL",
"postal_code": "36087",
"telephone_number": "334-727-0550",
"fax_number": "334-725-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL ROAD",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "36083",
"telephone_number": "334-727-0550",
"fax_number": "334-725-3074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CARL",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.