BETHANY MOORE PT
NPI 1417839788
Physical Therapist in Indianapolis, IN

Active since July 25, 2025Accepts Medicare Assignment
2902 W 86TH ST STE 60, INDIANAPOLIS, IN 46268(317) 396-0870 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany Moore Pt NPPES

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

BETHANY MOORE PT (NPI 1417839788) is an individual physical therapist in Indianapolis, Indiana and active in the NPI registry since July 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1417839788
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameBETHANY MOORECredential: PT
Location Address2902 W 86TH ST STE 60Indianapolis, IN 46268-4188
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1417839788 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
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.
2902 W 86TH ST STE 60, Indianapolis, IN 46268

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bethany Moore Pt 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 ID4688173792
PECOS Enrollment IDI20250815003322

Medicare Billing Reassignment

Medicare enrollment records show Bethany Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1505 US HIGHWAY 41 STE A20
Schererville, IN 46375
  • Reassigned Medicare billing, Indiana enrollment
  • 250 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46268 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Physical Therapist
2902 W 86TH ST STE 60
INDIANAPOLIS, IN 46268
Clinic/Center (Physical Therapy)
2902 W 86TH ST STE 60
INDIANAPOLIS, IN 46268
Physical Therapist
2902 W 86TH ST STE 60
INDIANAPOLIS, IN 46268

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 Bethany Moore's NPI number?

The NPI number for Bethany Moore is 1417839788. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Bethany Moore located?

Bethany Moore practices at 2902 W 86th St Ste 60, Indianapolis, IN 46268. The listed phone number is (317) 396-0870.

What is Bethany Moore's specialty?

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

Is Bethany Moore enrolled in Medicare?

Yes. Bethany 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.

Which organization bills Medicare for Bethany Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Moore reassigns Medicare benefits to Athletico, Ltd (Schererville, IN). 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 Bethany Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Moore accept?

Health plans from Anthem Blue Cross and Blue Shield list Bethany Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Moore was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.