Breanna Lynn Kimble Moore, PT, DPT
NPI 1285248906ActiveIndividual· Physical Therapist· San Marcos, CA
Physical Therapist (PT, DPT) with Physical Therapy Effect PC, practicing in San Marcos, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1285248906 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Sep 1, 2020 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT298095 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy Effect PCSan Diego, CA · 8 clinicians
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All 106 physical therapists in San Marcos · All physical therapists in California