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Mikaella Moore, PT, DPT

NPI 1063991479ActiveIndividual· Physical Therapist· Largo, FL

Physical Therapist (PT, DPT) with Advanced Rehabilitation, Inc., practicing in Largo, Florida. Medicare paid $15,004 for services to 17 patients in 2024.

Overview

NPI1063991479
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedAug 8, 2018
Last updated in NPPESAug 8, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT33851FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed706 across 7 procedure codes
Paid by Medicare$15,004

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Largo

All 107 physical therapists in Largo · All physical therapists in Florida