Individual provider · Type 1 NPI

Kitara McMoore

Physical Therapy Assistant · Virginia Beach, VA

NPI number 1104714807 Active

Practice location

5345 Marian Ln
Virginia Beach, VA 23462-1841

Call (757) 456-4518 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306604540 (VA)

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 1104714807

Kitara McMoore's National Provider Identifier is 1104714807, issued on Jun 24, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jun 24, 2025.