1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Physical Therapist
  6. NPI Profile

MELISSA MOORE PT
NPI 1962292029
Physical Therapist - Orthopedic in Vancouver, WA

Active since May 10, 2025Accepts Medicare Assignment
16821 SE MCGILLIVRAY BLVD STE 104, VANCOUVER, WA 98683(360) 514-2048 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, May 10, 2025 (2 updates tracked since 2025).

About Melissa Moore Pt NPPES

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

MELISSA MOORE PT (NPI 1962292029) is an individual orthopedic provider in Vancouver, Washington, licensed in Washington (PT60159557) and active in the NPI registry since May 2025. She maintains a secondary practice location in Vancouver and is a graduate of Other (2010).

NPPES Registry Identity

NPI1962292029
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameMELISSA MOORECredential: PT
Location Address16821 SE MCGILLIVRAY BLVD STE 104Vancouver, WA 98683-0401
Mailing Address16821 Se Mcgillivray Blvd Ste 104Vancouver, WA 98683-0401 · (360) 514-2048
Phone(360) 514-2048
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 10, 2025
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1962292029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in WA · PT60159557
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT60159557 (WA)
16821 SE MCGILLIVRAY BLVD STE 104, Vancouver, WA 98683
Open in Google Maps ↗

Secondary Practice Location 1

Location 13101 SE 192nd AveVancouver, WA 98683-1442 · Phone (360) 729-8010 · Fax (360) 729-8011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

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

Melissa 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 ID6608386438
PECOS Enrollment IDI20250610002702

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 Melissa Moore's NPI number?

The NPI number for Melissa Moore is 1962292029. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Where is Melissa Moore located?

Melissa Moore practices at 16821 SE Mcgillivray Blvd Ste 104, Vancouver, WA 98683. The listed phone number is (360) 514-2048.

What is Melissa Moore's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Melissa Moore enrolled in Medicare?

Yes. Melissa 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.

What insurance does Melissa Moore accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Melissa 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 Melissa Moore was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.