MR. MICHAEL J MOORE (NPI# 1104900620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104900620 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J MOORE |
| Credential | PT FFAAOMPT |
| Practice Address |
115 Natoma St Folsom CA 95630 |
| Practice Telephone | 9163558196 |
| Practice Fax Number | 9163558196 |
| Mailing Telephone | 9163558196 |
| Mailing Fax Number | 9163558196 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7554 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | OPT75540 | 01 | |
| BLUE CROSS OF CA | PT7554 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115582 | Michael Shane Moore | Physical Medicine & Rehabilitation | 2757 Vandy Ct, Montgomery, AL 36110-1339 | 2020-08-17 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1508327537 | Michael D Moore | Nurse Practitioner | 1012 Center Dr, Richmond, KY 40475-3838 | 2019-03-31 |
| 1407393846 | Michael Charles Moore | Counselor | 2123 W 77th St, Los Angeles, CA 90047-2312 | 2017-01-24 |
| 1356884852 | Michael Lemuel Moore II | Counselor | 665 Rotunda Way, Brentwood, CA 94513-5534 | 2016-12-01 |
| 1154778355 | Michael Moore | Pharmacist | 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 | 2016-05-17 |
| 1750747564 | Michael Moore | Developmental Therapist | 220 Pebble Creek Rd, Powell, WY 82435-2271 | 2016-01-08 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1558742734 | Michael B Moore | Nurse Practitioner | 3040 College St, Beaumont, TX 77701-4606 | 2015-06-14 |
| 1033517578 | Michael D. Moore | Hearing Instrument Specialist | 11834 County Road 101, Suite 202, The Villages, FL 32162 | 2014-12-16 |
| Street Address |
115 NATOMA ST |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788202 | Folsom Physical Therapy and Training Center | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2006-07-08 |
| 1487205175 | Taylor K Desilva | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2019-09-24 |
| 1669023453 | Eric D Weill | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2019-09-24 |
| 1841612421 | Christina Maria Moskala | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2014-01-15 |
| 1780936328 | Suzanne Therese Talbert | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2012-10-05 |
| 1497922694 | Rachel S. Worman | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2008-05-15 |
| 1265504948 | Paul Ray Kinney Jr. | Physical Therapist | 115 Natoma St, Folsom, CA 95630 | 2006-11-15 |
| 1487731519 | Kristia Ann Suutala | Physical Therapist | 115 Natoma St, Folsom, CA 95630-2615 | 2006-11-01 |
| 1164506788 | Timothy Eugene Mcgonigle | Physical Therapist | 115 Natoma St, Folsom, CA 95630 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960823 | Austin Lee Sawyer | Physical Therapist | 525 Willard Dr Apt 223, Folsom, CA 95630-4066 | 2020-10-19 |
| 1700417953 | Natalie Taylor-ketcham | Physical Therapist | 209 Ruth Ct, Folsom, CA 95630-2723 | 2020-01-27 |
| 1891227005 | Ann John | Physical Therapist | 1289 Lorden Ct, Folsom, CA 95630-8400 | 2017-03-28 |
| 1659750891 | David Lynn Hartwick | Physical Therapist | 791 Morningside Dr, Folsom, CA 95630-6145 | 2015-05-20 |
| 1457744294 | Lauren Lovelace | Physical Therapist | 7700 Folsom Auburn Rd Ste 130, Folsom, CA 95630-6637 | 2015-03-17 |
| 1811248016 | Dennis Masayuki Ohara | Physical Therapist | 833 Morton Way, Folsom, CA 95630-8811 | 2012-09-27 |
| 1114202066 | Heide Comm | Physical Therapist | 705 Gold Lake Dr Ste 350, Folsom, CA 95630 | 2011-10-11 |
| 1689860710 | Kelly Renee Schade | Physical Therapist | 101 E Natoma St, Folsom, CA 95630-2700 | 2007-09-21 |
| 1326256330 | Gaurett Bettencourt Duckhorn | Physical Therapist | 125 Grey Canyon Dr, Folsom, CA 95630-2011 | 2007-05-21 |
| 1982825717 | Yvonne Marie Fachner | Physical Therapist | 805 Travis St, Folsom, CA 95630 | 2007-05-01 |
| Find all providers in FOLSOM | ||||
Please comment or provide details below to improve the information on MR. MICHAEL J MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.