KAROL MOORE PHYSICAL THERAPIST
NPI 1790255115
Physical Therapist - Pediatrics in Ellicott City, MD
About Karol Moore Physical Therapist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAROL MOORE PHYSICAL THERAPIST (NPI 1790255115) is an individual pediatrics provider in Ellicott City, Maryland, licensed in Maryland (15759) and active in the NPI registry since November 2018. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karol Moore Physical Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karol Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurel, MD 20723
- Reassigned Medicare billing, Maryland enrollment
- 20 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELLICOTT CITY, MD 21042
ELLICOTT CITY, MD 21042
ELLICOTT CITY, MD 21042
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 Karol Moore's NPI number?
The NPI number for Karol Moore is 1790255115. It was assigned to this individual provider in the NPPES registry on November 28, 2018.
Where is Karol Moore located?
Karol Moore practices at 10910 Clarksville Pike, Ellicott City, MD 21042. The listed phone number is (410) 913-0567.
What is Karol Moore's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.
Is Karol Moore enrolled in Medicare?
Yes. Karol Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karol Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karol Moore reassigns Medicare benefits to Therapy In Motion (Laurel, MD). 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 Karol 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 Karol Moore was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Karol Moore, PHYSICAL THERAPIST · NPI 1790255115
Pediatrics provider in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since November 28, 2018.
## Identity
- **NPI:** 1790255115 (Entity type: Individual)
- **Enumerated:** November 28, 2018
- **Primary specialty:** Physical Therapist - Pediatrics · taxonomy 2251P0200X
- **State license:** 15759 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10910 CLARKSVILLE PIKE, Ellicott City, MD 21042-6106
- **Phone:** (410) 913-0567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Therapy In Motion (NPI 1912507922, Laurel, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790255115) · Data from the CMS NPPES public registry.