MR. THEODORE CRAIG MOORE (NPI# 1164481552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164481552 |
| Entity Type | Individual |
| Full Name | MR. THEODORE CRAIG MOORE |
| Credential | PT |
| Practice Address |
250 Elm Ave Auburn CA 95603-4226 |
| Mailing Address |
3600 Kimo Way Auburn CA 95602-9675 |
| Practice Telephone | 5308892411 |
| Practice Fax Number | 5308892451 |
| Mailing Telephone | 5308787076 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT6680 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134290695 | Theodore A Moore | Counselor | 2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620 | 2006-11-13 |
| 1497756027 | Theodore English Moore | Dentist | 9896 Rosemont Ave, Ste 204, Lone Tree, CO 80124 | 2005-08-04 |
| 1710091020 | Theodore Bruce Moore | Pediatrics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-08-17 |
| Street Address |
250 ELM AVE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855705 | Rebecca Lee Klug | Physical Therapist | 250 Elm Ave, Auburn, CA 95603-4226 | 2006-03-20 |
| 1871929844 | Michelle Iannone Ashworth | Occupational Therapist | 250 Elm Ave, Auburn, CA 95603-4226 | 2013-09-22 |
| 1417916180 | Stephen Francis Fuzie | Physical Therapist | 250 Elm Ave, Auburn, CA 95603-4226 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747797 | Marissa Rescott | Physical Therapist | 37 Melrose Rd, Auburn, NY 13021-9203 | 2019-12-11 |
| 1376963884 | Amelia Ratliff | Physical Therapist | 1550 E University Dr, Auburn, AL 36830-6352 | 2014-04-23 |
| 1780779157 | Robert Gary Suggett | Physical Therapist | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2006-10-03 |
| 1841221074 | Joel Berquam | Physical Therapist | 477 Yancey St, Auburn, AL 36832-8764 | 2006-07-05 |
| 1528050549 | Janet L Trapani | Physical Therapist | 197 State St, Suite 200, Auburn, NY 13021-1866 | 2005-08-16 |
| 1649509399 | Lynne L Espino | Physical Therapist | 319a Southbridge St, Auburn, MA 01501-2598 | 2009-12-09 |
| 1568616126 | Paul D Creedon | Physical Therapist | 319a Southbridge St, Auburn, MA 01501-2598 | 2008-11-10 |
| 1124164496 | Thomas A Zirilli | Physical Therapist | 40 West Lake Ave, Auburn, NY 13021 | 2007-01-30 |
| 1851437040 | Brette Rothschild | Physical Therapist | 489 Washington St, Suite 200, Auburn, MA 01501-5709 | 2007-01-29 |
| 1043298086 | Richard C. Wahlgren | Physical Therapist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-01-09 |
| Find all providers in AUBURN | ||||
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| 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.