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Deactivated NPI 1982979365 Deactivated / Inactive NPI Male Practitioner

Charles D Moore , PT

Physical Therapist • Stanton, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2012
NPI Deactivation Date January 16, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Charles Moore, PT was a registered Physical Therapist practicing in Stanton, KY. Throughout an active medical career spanning 13 years, Charles Moore provided care at the practice location at 31 DERICKSON LN until profile deactivation on 2025-01-16.

Practice Location & Contact Primary Location

Practice Address

31 Derickson Ln

Stanton, KY 403802153

Telephone 6066630435
Associated Practice Facility / Clinic
🏢 Extendicare Homes, Inc. Facility NPI 1588736078

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Stanton, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Stanton, KY (3267 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License KY 003353

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Courtney Bowling , SLP

Speech-Language Pathologist

NPI 1043586571

Speech-Language Pathologist

Rebecka Belcher , SLP

Speech-Language Pathologist

NPI 1386841310

Speech-Language Pathologist

Heather Burchett , PT

Physical Therapist

NPI 1538367354

Physical Therapist

Tammy Geer , OTR

Occupational Therapist

NPI 1659579506

Occupational Therapist Registered

Jennifer Billiter , OT

Occupational Therapist

NPI 1679770606

Occupational Therapist

Jan Smith , SLP

Speech-Language Pathologist

NPI 1881888212

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 16, 2025

Record deactivated on January 16, 2025

NPI Profile Active March 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2012

Registered at 31 DERICKSON LN, STANTON, KY 403802153 (Tel: 6066630435)

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Updated Business Mailing Address March 19, 2012

Registered at PO BOX 1351, MT STERLING, KY 403535351

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Provider Name / Credentials Updated March 19, 2012

Recorded as CHARLES MOORE, PT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2012

Physical Therapist (License #003353 in KY)

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Initial NPI Registration & Enumeration March 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982979365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2012
Last Update: March 19, 2012
Deactivation Date: January 16, 2025

Mailing Address

Po Box 1351

Mt Sterling, KY 403535351

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.