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

Ben Cody Moore

Individual provider Kinesiotherapist · NPI 1821634122

Ben Cody Moore is a Physical Therapist in Private Practice in Scottsville, Virginia. Qualified in 2023, 3 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Virginia.

Years since qualifying
3
Licensed in
MS, VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

110 Scottsville Ctr Ste B
Scottsville, VA 24590-7001
Phone: (540) 437-3556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Broad Rock Blvd, Richmond, VA 23249-0001 — (804) 675-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216408 (VA)
Kinesiotherapist Taxonomy 226300000X · Licence 1945 (MS)

Record details

NPI number1821634122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2019
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address1021 Broad Rock Blvd, Richmond, VA 23249-0001

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount