MRS. LEILA C. MOORE DPT
NPI 1205104445
Physical Therapist in Baldwinsville, NY
About Mrs. Leila C. Moore Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LEILA C. MOORE DPT (NPI 1205104445) is an individual physical therapist in Baldwinsville, New York, licensed in New York (877094448) and active in the NPI registry since December 2011.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Leila C. Moore Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Leila Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leila Moore's NPI number?
The NPI number for Leila Moore is 1205104445. It was assigned to this individual provider in the NPPES registry on December 2, 2011. The provider is also known as Ms. Leila Channaoui Dpt.
Where is Leila Moore located?
Leila Moore practices at 19 E Genesee St, Baldwinsville, NY 13027. The listed phone number is (315) 635-5000.
What is Leila Moore's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Leila Moore enrolled in Medicare?
Yes. Leila Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Leila Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leila Moore reassigns Medicare benefits to Cani Pt Ot Slp & Psychology PLLC (Watertown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leila Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leila Moore was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.