Kelly Moore, PT in Chugiak, AK - Medicare Physical Therapist Provider

Kelly Moore, PT is a medicare enrolled "Physical Therapist" provider in Chugiak, Alaska. Her current practice location is 22502 Sambar Loop, Chugiak, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 726-4663.

Kelly Moore is licensed to practice in Alaska (license number 800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477670594.

Contact Information

	Kelly Moore, PT
	22502 Sambar Loop, Chugiak, AK 99567-5377
	(907) 726-4663
	(844) 605-1820

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Moore
Gender	Female
Speciality	Physical Therapist
Location	22502 Sambar Loop, Chugiak, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477670594
Provider Enumeration Date: 03/23/2007
Last Update Date: 04/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5496265498
Enrollment ID: I20250609003292

Medical Identifiers

Medical identifiers for Kelly Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477670594	NPI	-	NPPES
PT4330	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	011150 (New York)	Secondary
225100000X	Physical Therapist	800 (Alaska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Moore allows following entities to bill medicare on her behalf.

Provider Name	Therapeutic Health And Home Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1205421047 PECOS PAC ID: 8022426162 Enrollment ID: O20210409000882

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Moore, PT Po Box 672075, Chugiak, AK 99567-2075 Ph: (907) 726-4663	Kelly Moore, PT 22502 Sambar Loop, Chugiak, AK 99567-5377 Ph: (907) 726-4663

Reviews and Comments

Physical Therapist in Chugiak, AK

Dr. Natalie Snyder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22502 Sambar Loop, Chugiak, AK 99567 Phone: 907-726-4663 Fax: 844-605-1820
Danielle Lynn Schmaltz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22502 Sambar Loop, Chugiak, AK 99567 Phone: 907-726-4663 Fax: 844-605-1820
Therapeutic Health And Home Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 22502 Sambar Loop, Chugiak, AK 99567 Phone: 907-762-4663
Gary Wayne Mccarthy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21719 Chandelle Cir, Chugiak, AK 99567 Phone: 907-688-4590 Fax: 907-688-4591
David Farmer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22502 Sambar Loop, Chugiak, AK 99567 Phone: 907-726-4663 Fax: 844-605-1820
Alison Jean Mccarthy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21719 Chandelle Cir, Chugiak, AK 99567 Phone: 907-688-4590 Fax: 907-688-4591

Kelly Moore, PT - Medicare Physical Therapist in Chugiak, AK