NICOLE MOORE (PT) – Physical Therapist, NPI 1114437662

NICOLE MOORE (PT) is a healthcare provider. based in Austin, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1295017 (TX). The NPI Number for NICOLE MOORE (PT) is 1114437662

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MOORE (PT)
NPI
1114437662
Phone
(512) 439-1000
Address
2224 Walsh Tarlton Ln Ste 150
Enumeration Date
10 October 2017
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124391000
Graduation Year
2017 (9 years ago)
PAC ID
4082970751
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20171113002891
Address ID
TX787051161AU911XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for NICOLE MOORE (PT)

  • 2224 Walsh Tarlton Ln Ste 150

    Austin, TX 787467790

    Phone: (512) 439-1000

    Type: Location

  • 7401 W HIGHWAY 71 STE 130

    AUSTIN, TX 787358265

    Phone: (512) 288-2700

    Fax: (512) 288-2711

    Type: Mailing

  • 911 W 38TH ST STE 300

    AUSTIN, TX 787051161

    Phone: (512) 439-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2017-11-13

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
I20171113002891IPhysical Therapist In Private PracticeTXTBD

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 minutes32924$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26824$0
97140Therapy procedure using manual technique, each 15 minutes14921$0
97530Therapy procedure using functional activities8718$0
97162Evaluation for physical therapy, typically 30 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 78746)

Loading plans...

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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find NICOLE MOORE (PT)'s NPI?
You can confirm NICOLE MOORE (PT) with NPI 1114437662; it appears in the national provider directory.
Is NICOLE MOORE (PT) currently active in the NPI registry?
CMS-published data lists NICOLE MOORE (PT) as an active registrant.
What field does NICOLE MOORE (PT) work in?
You can think of NICOLE MOORE (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE MOORE (PT)?
The snapshot lists Austin, Texas for NICOLE MOORE (PT); download NPPES for the complete set.
Is NICOLE MOORE (PT) a real provider?
This page reflects official NPPES data for NPI 1114437662. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

Westlake Medical Center, 5656, Bee Cave Road, Austin, Travis County, Texas, 78746, United States
NPI: 1285637439

MRS. SU S LIM (PT)

Physical Therapist
8500, Bluffstone Cove, Prominent Point, Austin, Travis County, Texas, 78759, United States
NPI: 1992709539
17325, Bell North Drive, Schertz, Comal County, Texas, 78154, United States
NPI: 1992700215
403 WARM MIST CV
NPI: 1396741732
2501, West William Cannon Drive, Cherry Meadows, Austin, Travis County, Texas, 78745, United States
NPI: 1205834330
7401 W HIGHWAY 71
NPI: 1013916337

MRS. KATE MARIE BURKE (PT)

Physical Therapist
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
NPI: 1831181577
Burnet Road, Austin, Travis County, Texas, 78757, United States
NPI: 1891789830

MS. LAURA VIELMA (PT)

Physical Therapist
4700, Seton Center Parkway, Quarry, Austin, Travis County, Texas, 78759, United States
NPI: 1164411781