Michael Ryan Moore, DPT - Medicare Physical Therapist in Charleston, SC

Michael Ryan Moore, DPT is a medicare enrolled "Physical Therapist" provider in Charleston, South Carolina. His current practice location is 628th Medical Group, 204 West Hill Blvd, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (804) 571-5000.

Michael Ryan Moore is licensed to practice in South Carolina (license number 8765) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033422902.

Contact Information

Michael Ryan Moore, DPT
628th Medical Group, 204 West Hill Blvd,
Charleston, SC 29404
(804) 571-5000
(804) 518-1314



Healthcare Provider's Profile

Full NameMichael Ryan Moore
GenderMale
SpecialityPhysical Therapist
Location628th Medical Group, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033422902
  • Provider Enumeration Date: 07/21/2010
  • Last Update Date: 03/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254455447
  • Enrollment ID: I20240301003274

Medical Identifiers

Medical identifiers for Michael Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033422902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305206565 (Virginia)Secondary
225100000XPhysical Therapist 8765 (South Carolina)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. Michael Ryan Moore allows following entities to bill medicare on his behalf.
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20151021002796

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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. Michael Ryan 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 AddressPractice Location Address
Michael Ryan Moore, DPT
628th Medical Group, 204 West Hill Blvd,
Charleston, SC 29404

Ph: (804) 571-5000
Michael Ryan Moore, DPT
628th Medical Group, 204 West Hill Blvd,
Charleston, SC 29404

Ph: (804) 571-5000

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Physical Therapist in Charleston, SC

Mrs. Sarah Amy Fox Maurer,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412
Phone: 843-266-1540    Fax: 843-266-1567
Mr. Bruce Alan Reeves, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 169 Ashley Ave, Room, 3sw Wing, Charleston, SC 29425
Phone: 843-792-3481    Fax: 843-792-0724
Mark L Pilon, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412
Phone: 843-406-6302    Fax: 843-406-6540
Gabriel Mattson, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407
Phone: 843-576-4121    Fax: 843-793-3575
Pluff Mud Therapy Services
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1849 Capri Dr, Charleston, SC 29407
Phone: 843-270-8505    
Volk Physical Therapy Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 96 Rutledge Ave Apt E, Charleston, SC 29401
Phone: 704-575-6541    
Dr. Caitlin Mary Keller, PT, DPT, PCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Mcclennan Banks Dr, Charleston, SC 29401
Phone: 843-985-2128    

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