Individual provider · Type 1 NPI

Melody Moore, PTA

Physical Therapy Assistant · Fairport, NY

NPI number 1043869134 Active

Practice location

149 N Main St
Fairport, NY 14450-1434

Fax (585) 377-2243

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X006175 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1043869134

Melody Moore, PTA's National Provider Identifier is 1043869134, issued on Sep 10, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairport, NY. The record was last updated on Sep 10, 2019.