Organization Active NPI

Advanced Physical Therapy

  • Physical Therapist
  • Cleveland, TN
National Provider Identifier
1992942544
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Seymour Moore, PTNPI 1013942721
Title
Owner
Phone
(423) 790-8435

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000731 TN Part B Supplier - Clinic/Group Practice 0941357362 Receives reassigned benefits from 2 practitioners
Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory

Locations

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

440 Stuart Rd NE
Ste 2
Cleveland, TN 37312
Phone (423) 451-8747

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1992942544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 STUART RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124926",
            "telephone_number": "423-790-8435",
            "fax_number": "423-790-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STUART RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124926",
            "telephone_number": "423-790-8435",
            "fax_number": "423-790-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-17",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "SEYMOUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-790-8435",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.