MICHAEL SHANE MOORE LPTA
NPI 1972115582
Physical Medicine & Rehabilitation in Montgomery, AL

Active since August 17, 2020
2757 VANDY CT, MONTGOMERY, AL 36110(334) 669-1430 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Shane Moore Lpta NPPES

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

MICHAEL SHANE MOORE LPTA (NPI 1972115582) is an individual physical medicine & rehabilitation provider in Montgomery, Alabama, licensed in Alabama (PTA9712) and active in the NPI registry since August 2020. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1972115582
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMICHAEL SHANE MOORECredential: LPTA
Location Address2757 VANDY CTMontgomery, AL 36110-1339
Mailing Address2757 Vandy CtMontgomery, AL 36110-1339 · (334) 669-1430
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1972115582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in AL · PTA9712
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
2757 VANDY CT, Montgomery, AL 36110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Shane Moore Lpta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991276313
PECOS Enrollment IDI20260608000440

Medicare Billing Reassignment

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

Physical Therapist
445 DEXTER AVE STE 4050
Montgomery, AL 36104
  • Reassigned Medicare billing, Alabama enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1972115582. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Michael Moore located?

Michael Moore practices at 2757 Vandy Ct, Montgomery, AL 36110. The listed phone number is (334) 669-1430.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Michael Moore enrolled in Medicare?

Yes. Michael Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Moore reassigns Medicare benefits to Moore Healing LLC (Montgomery, AL). 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 Michael 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 Michael Moore was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.