TRISTA LYNN MOORE DPT
NPI 1467933937
Physical Therapist in Maplewood, MN
About Trista Lynn Moore Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRISTA LYNN MOORE DPT (NPI 1467933937) is an individual physical therapist in Maplewood, Minnesota, licensed in Minnesota (11084) and active in the NPI registry since August 2018. She maintains a secondary practice location in Woodbury.
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.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trista Lynn Moore Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Trista Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 20 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 59 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
MAPLEWOOD, MN 55109
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 Trista Moore's NPI number?
The NPI number for Trista Moore is 1467933937. It was assigned to this individual provider in the NPPES registry on August 23, 2018.
Where is Trista Moore located?
Trista Moore practices at 2495 Maplewood Dr Ste 313, Maplewood, MN 55109. The listed phone number is (651) 770-8884.
What is Trista Moore's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Trista Moore enrolled in Medicare?
Yes. Trista Moore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Trista Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Trista Moore reassigns Medicare benefits to 2 organizations: Functional Integrated Therapy, Ltd (Maplewood, MN) and Family Achievement Center Inc. (Woodbury, MN). Each 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 Trista 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 Trista Moore was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.