MICHAEL SHANE MOORE LPTA
NPI 1972115582
Physical Medicine & Rehabilitation in Montgomery, AL
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
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)
Michael Shane Moore Lpta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.