Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth Ann Moore

Individual provider Physical Therapist · NPI 1407357221

Beth Ann Moore is registered under Physical Therapist in Private Practice in Traverse City, Michigan. Qualified in 1997, 29 years ago. Practices with Mary Free Bed Rehabilitation Hospital, a 132-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

550 Munson Ave
Traverse City, MI 49686-3580
Phone: (231) 213-1137
Fax: (231) 935-0599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501009032 (MI)

Record details

NPI number1407357221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mary Free Bed Rehabilitation Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City