Lori L Moore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013220 Issued in GA

Practice address

117 Harmony Xing Ste 4
Eatonton, GA 31024-9548

Phone

(706) 454-1811

NPI assigned

Dec 20, 2018

Sex

Female

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 GA

Enrollment records 1

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.

• Evans Rehabilitation Services, LLC

  • Physical Therapist
  • Evans, GA
  • NPI 1093715773

  GA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1982176509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HARMONY XING STE 4",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249548",
            "telephone_number": "706-454-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HARMONY XING STE 4",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249548",
            "telephone_number": "706-454-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORI",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Todd Milroy, M.D.
• Andrea Michelle Monday
• Tameika Yvette Monday, FNP
• Mary Montero, LCSW
• Dennis Moore, LPC
• Caroline Nappo, FNP-BC
• Tressie Sheileen Nicholson
• Nra-Eatonton, Georgia, LLC
• O Akhras MD PC
• Oconee Community Service Board

• All providers in Eatonton, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.