DR. REBECCA NICOLE MOORE (PT, DPT) – Physical Therapist, NPI 1174294805

DR. REBECCA NICOLE MOORE (PT, DPT) is a healthcare provider. based in Hagerstown, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 28671 (MD). The NPI Number for DR. REBECCA NICOLE MOORE (PT, DPT) is 1174294805

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA NICOLE MOORE (PT, DPT)
NPI
1174294805
Phone
Not provided
Address
13114 PENNSYLVANIA AVE
Enumeration Date
22 September 2021
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018007770
Graduation Year
2021 (5 years ago)
PAC ID
3274922802
Group Practice PAC ID
6901170885
Professional Enrollment ID
I20211119000516
Address ID
MD217423720HA13114AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for DR. REBECCA NICOLE MOORE (PT, DPT)

  • 13114 PENNSYLVANIA AVE

    HAGERSTOWN, MD 217423720

    Phone:

    Type: Mailing

  • 5811 WHITE LAKE LN APT 105

    FREDERICK, MD 217032922

    Phone: (301) 473-6025

    Type: Mailing

  • 1165 IMPERIAL DR # 103

    HAGERSTOWN, MD 217406555

    Phone: (301) 800-7770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211119000516IPhysical Therapist In Private PracticeMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31347$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30041$0
97530Therapy procedure using functional activities23949$0
97140Therapy procedure using manual technique, each 15 minutes20134$0
97161Evaluation for physical therapy, typically 20 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 21742)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901170885View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physician AssistantMD
-WV
-MD

Reviews

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Frequently asked questions

What unique ID ties claims to DR. REBECCA NICOLE MOORE (PT, DPT)?
NPI 1174294805 is assigned to DR. REBECCA NICOLE MOORE (PT, DPT) under the national enumeration system.
Is DR. REBECCA NICOLE MOORE (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. REBECCA NICOLE MOORE (PT, DPT) work in?
You can think of DR. REBECCA NICOLE MOORE (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for DR. REBECCA NICOLE MOORE (PT, DPT)?
We surface Hagerstown, Maryland for DR. REBECCA NICOLE MOORE (PT, DPT) based on available NPPES addresses.
How can I contact DR. REBECCA NICOLE MOORE (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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