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PETRA MOORE
NPI 1497631915
Speech-Language Pathologist in Frederick, MD

Active since August 12, 2025
9051 RIDGEFIELD DR, FREDERICK, MD 21701(227) 203-1340 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petra Moore NPPES

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

PETRA MOORE (NPI 1497631915) is an individual speech-language pathologist provider in Frederick, Maryland, licensed in Maryland (11639) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1497631915
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NamePETRA MOORE
Location Address9051 RIDGEFIELD DRFrederick, MD 21701-6740
Mailing Address10307 Fox Chase CirNew Market, MD 21774-6918 · (701) 818-0887
Phone(227) 203-1340
Sole ProprietorNo
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1497631915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MD · 11639
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
9051 RIDGEFIELD DR, Frederick, MD 21701
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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.

CARLA BUNNER
Social Worker (Clinical)
9051 RIDGEFIELD DR
FREDERICK, MD 21701
Frederick County (240) 236-1512
HEATHER SPISSO M.ED., CCC-SLP
Speech-Language Pathologist
9051 RIDGEFIELD DR
FREDERICK, MD 21701
Frederick County (240) 236-1600
MRS. ASHLEY LYNN REECE
Speech-Language Pathologist
9051 RIDGEFIELD DR
FREDERICK, MD 21701
Frederick County (301) 512-7172

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 Petra Moore's NPI number?

The NPI number for Petra Moore is 1497631915. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Petra Moore located?

Petra Moore practices at 9051 Ridgefield Dr, Frederick, MD 21701. The listed phone number is (227) 203-1340.

What is Petra Moore's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Petra Moore was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.