Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497631915 Individual Practitioner Female Practitioner

Petra Moore

Speech-Language Pathologist • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Petra Moore is a registered healthcare professional specializing in Speech-Language Pathologist in Frederick, MD. Practice services are available at 9051 RIDGEFIELD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9051 Ridgefield Dr

Frederick, MD 217016740

Telephone 2272031340

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
135 Specialists

Practicing in Frederick, MD (4547 Statewide)

Telehealth Adoption Rate
0.7% 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

CMS Verified: 2025-08-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MD 11639

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Carla Bunner

Social Worker - Clinical

NPI 1194297085
Heather Spisso , MED, CCC-SLP

Speech-Language Pathologist

NPI 1568934354

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Ashley Reece

Speech-Language Pathologist

NPI 1881163640

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2025

Registered at 9051 RIDGEFIELD DR, FREDERICK, MD 217016740 (Tel: 2272031340)

📍
Updated Business Mailing Address August 12, 2025

Registered at 10307 FOX CHASE CIR, NEW MARKET, MD 217746918 (Tel: 7018180887)

👤
Provider Name / Credentials Updated August 12, 2025

Recorded as PETRA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2025

Speech-Language Pathologist (License #11639 in MD)

🟢
Initial NPI Registration & Enumeration August 12, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497631915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2025
Last Update: August 12, 2025
Sole Proprietor: No

Mailing Address

10307 Fox Chase Cir

New Market, MD 217746918

Phone: 7018180887

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.