Individual
MRS. LISA P MOORE
Active
Individual
MRS. LISA P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150732
DEPT. OF LABOR & INDUSTRY
WA
01
—
4268MO
REGENCE BLUE SHIELD
WA
01
—
5924727
AETNA
WA
01
—
650021420
RAILROAD MEDICARE
WA
05
—
8336240
—
WA
01
—
8929895
L&I CRIME VICTIMS
WA
01
—
911745305-98223-A012
TRICARE
WA
Enumeration date
05/30/2006
Last updated
10/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up