Laura Olson Moore (NPI# 1326177882, PAC ID# 5799966180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1326177882 |
PAC ID by PECOS | 5799966180 |
Professional Enrollment ID | I20110217000575 |
Full Name | Laura Olson Moore |
Organization Legal Name | FUNCTION BETTER THERAPY SERVICES |
Address |
136 Bristol E Rd Bristol VA 24202-5500 |
Phone Number | 2765915484 |
Gender | F |
Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 6002879541 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
136 Bristol E Rd, Bristol, VA 24202-5500 | 2765915484 | FUNCTION BETTER THERAPY SERVICES |
Organization Legal Name | FUNCTION BETTER THERAPY SERVICES |
Physicians | 1 |
Street Address |
136 BRISTOL E RD |
City | BRISTOL |
State | VA |
Zip | 24202-5500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Audrey E Capell | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
Charles E Williams Jr. | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
Justin Scott Pennington | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
David Wayne Shirey | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy G Mcgarry | Orthopedic Surgery | Timothy G. Mcgarry M.d. Pllc | 21371 Forsythe Rd, Bristol, VA 24202-4357 |
Jessica L. Loveday | Physician Assistant | Timothy G. Mcgarry M.d. Pllc | 21371 Forsythe Rd, Bristol, VA 24202-4357 |
Brady Carter | Physical Therapy | 2426 Lee Hwy, Suite 210, Bristol, VA 24202-5967 | |
George O Halstead | General Practice | Renaissance Medical Center | 284 Blevins Blvd, Bristol, VA 24202-5977 |
City | BRISTOL |
Zip Code | 24202 |
Specialty | PHYSICAL THERAPY |
City + Specialty | BRISTOL + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.