MARISSA MOORE PT, DPT
NPI 1912397050
Physical Therapist - Orthopedic in Cumming, GA

NPI Status: Active since January 28, 2015

Contact Information

5610 BETHELVIEW RD STE 400
CUMMING, GA
ZIP 30040
Phone: (770) 781-8851
Fax: (770) 781-8227

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  • Individual
  • Female
  • Years of Experience 12
  • Physical Therapist
  • Orthopedic
  • Accepts Medicare Approved Payment

About MARISSA MOORE

This page provides the complete NPI Profile along with additional information for Marissa Moore, a provider established in Cumming, Georgia with a medical specialization in Physical Therapist, focusing in orthopedic and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1912397050 assigned on January 2015. The practitioner's primary taxonomy code is 2251X0800X with license number PT011816 (GA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1912397050
Provider Name
MARISSA MOORE PT, DPT
Gender
Female
Entity Type
Individual
Location Address
5610 BETHELVIEW RD STE 400 CUMMING, GA 30040
Location Phone
(770) 781-8851
Location Fax
(770) 781-8227
Mailing Address
912 ASHFORD PKWY DUNWOODY, GA 30338
Mailing Phone
(336) 209-4247
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
01-28-2015
Last Update Date
03-04-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT011816
License State
GA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Marissa Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1355653718

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150629001021

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912397050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29226914010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 6 + 9 + 1 + 4 + 0 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1912397050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518470632 ANGELA HARKEY PT, DPT
Individual
Physical Therapist (Orthopedic)5610 BETHELVIEW RD STE 400
CUMMING, GA 30040
(770) 781-8851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912397050, enumerated in the NPI registry as an "individual" on January 28, 2015

The provider is located at 5610 Bethelview Rd Ste 400 Cumming, Ga 30040 and the phone number is (770) 781-8851

The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

The provider has more than 12 years of experience.

This NPI record was last updated on January 28, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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