Individual provider · Type 1 NPI

Kyle Andre Moore, PTA

Physical Therapy Assistant · Paterson, NJ

NPI number 1083825277 Active

Practice location

540 Straight St
Paterson, NJ 07503-3239

Fax (973) 782-5548

Mailing address

91 21st St
Irvington, NJ 07111-4558

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00186200 (NJ)

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 1083825277

Kyle Andre Moore, PTA's National Provider Identifier is 1083825277, issued on May 27, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Paterson, NJ. The record was last updated on Jul 8, 2026.