DR. BREANNA LYNN KIMBLE MOORE PT, DPT
NPI 1285248906
Physical Therapist in San Marcos, CA

Active since September 01, 2020Accepts Medicare Assignment
1 CREEKSIDE DR, SAN MARCOS, CA 92078(619) 544-1055 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 23, 2024, Sep 1, 2020 (2 updates tracked since 2020).

About Dr. Breanna Lynn Kimble Moore Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BREANNA LYNN KIMBLE MOORE PT, DPT (NPI 1285248906) is an individual physical therapist in San Marcos, California, licensed in California (PT298095) and active in the NPI registry since September 2020. She maintains a secondary practice location in San Diego and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285248906
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. BREANNA LYNN KIMBLE MOORECredential: PT, DPT
Location Address1 CREEKSIDE DRSan Marcos, CA 92078-2350
Mailing Address2120 Krystal PlEscondido, CA 92026-1800 · (330) 416-4039
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 1, 2020
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1285248906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT298095
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1 CREEKSIDE DR, San Marcos, CA 92078

Secondary Practice Location 1

Location 11601 Kettner BlvdSan Diego, CA 92101-2500 · Phone (619) 544-1055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Breanna Lynn Kimble Moore Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729420724
PECOS Enrollment IDI20240522001744

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Breanna Moore's NPI number?

The NPI number for Breanna Moore is 1285248906. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Breanna Moore located?

Breanna Moore practices at 1 Creekside Dr, San Marcos, CA 92078. The listed phone number is (619) 544-1055.

What is Breanna Moore's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Breanna Moore enrolled in Medicare?

Yes. Breanna Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Breanna Moore was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.