Nicholas Randall Moore, DPT
NPI 1811421258ActiveIndividual· Physical Therapist· Knoxville, TN
Physical Therapist (DPT) with Jordan C Black, practicing in Knoxville, Tennessee. Medicare paid $70,189 for services to 131 patients in 2024.
Overview
| NPI | 1811421258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Apr 12, 2017 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11242 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 4,413 across 23 procedure codes |
| Paid by Medicare | $70,189 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Jordan C BlackMorristown, TN · 23 clinicians
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