Individual provider · Type 1 NPI

Michael Ryan Moore, DPT

Physical Therapist · Charleston, SC

NPI number 1033422902 Active

Practice location

628th Medical Group, 204 West Hill Blvd
Charleston, SC 29404

Fax (804) 518-1314

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice locations

  • 131 Jennick Dr, Colonial Heights, VA 23834-4905 · (804) 526-5888
  • 5401 Netherby Ln Ste 302, North Charleston, SC 29420-7363 · (843) 225-5211

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X2305206565 (VA)
Physical Therapist Primary 225100000X8765 (SC)

Physical Therapist: 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, r…

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About NPI 1033422902

Michael Ryan Moore, DPT's National Provider Identifier is 1033422902, issued on Jul 21, 2010. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Charleston, SC. The record was last updated on Dec 10, 2025.