Advanced Physical Therapy – Physical Therapist

Key facts

NPI: 1992942544
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
Legal business name: ADVANCED PHYSICAL THERAPY
Practice address: 820 Stuart Rd NE
Cleveland, TN 37312-4926
Phone: (423) 790-8435
Fax: (423) 790-7990
NPI assigned: Jan 17, 2009
Organization subpart: No

Authorized official

Name: Cynthia Seymour Moore, PT NPI 1013942721
Title: Owner
Phone: (423) 790-8435

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Cynthia Seymour Moore, PT Physical Therapist · Cleveland, TN · NPI 1013942721

Medicare reassignment Care Compare group NPD Authorized official PHYSICAL THERAPIST · TN
Tanner Luke Cox, DPT Physical Therapist · Cleveland, TN · NPI 1588439657

Medicare reassignment Care Compare group NPD PHYSICAL THERAPIST · TN

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20090421000731	TN	Part B Supplier - Clinic/Group Practice	0941357362	Receives reassigned benefits from 2 practitioners Practice locations: Cleveland, TN

National Provider Directory

Locations

440 Stuart Rd NE
Cleveland, TN 37312
Phone (423) 451-4787

820 Stuart Rd NE
Cleveland, TN 37312
Phone (423) 790-8435

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225100000X			Yes

Addresses

Primary practice location

820 Stuart Rd NE
Cleveland, TN 37312-4926

Mailing address

820 Stuart Rd NE
Cleveland, TN 37312-4926
Phone (423) 790-8435

Other providers in Cleveland, TN

Adebayo Kingsley Adeeko, APRN
Chloe Lynnette Adkins, BEHAVIOR TECHNICIAN
Phillip J Adler, PHD, AT, ATC
Advanced Center for Sleep Disorders
Advanced Foot Care, LLP
Syed A Agha, MD
Agilitas USA Inc
Agilitas USA, Inc
Agilitas USA, Inc
Ahlberg Audiology and Hearing Aid Services LLC

All providers in Cleveland, TN · Physical Therapist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.