Kelly Moore, PT
NPI 1477670594ActiveIndividual· Physical Therapist· Chugiak, AK
Physical Therapist (PT) in Chugiak, Alaska, licensed in AK and NY, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1477670594 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Mar 23, 2007 |
| Last updated in NPPES | Apr 27, 2025 |
| Certified by provider | Apr 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 800 | AK |
| Physical Therapist | 225100000X | 011150 | NY |
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 (AK) |
|---|
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