Organization · Type 2 NPI

Gregory Todd Moore, Do PA

Sports Medicine (Orthopaedic Surgery) Physician · Mansfield, TX

NPI number 1295961233 Active

Practice location

1320 Highway 287 S
Mansfield, TX 76063-5701

Call (817) 968-5806 Map

Fax (915) 703-7745

Mailing address

2901 Acme Brick Plz
Fort Worth, TX 76109-4124

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	N0287 (TX)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

4 other providers at this address

NPI record

NPI: 1295961233
Entity type: Organization (Type 2)
Issued: Jun 4, 2009
Last updated: Nov 5, 2025
Status: Active

Other names

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Ellis County Orthopedic Sports Medicine Clinic · doing business as
Ellis County Orthopedic Sports Medicine Clinic · doing business as

Authorized official

Kate Kiser
Practice Manager
(817) 529-1900

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About NPI 1295961233

Gregory Todd Moore, Do PA's National Provider Identifier is 1295961233, issued on Jun 4, 2009. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Mansfield, TX. The record was last updated on Nov 5, 2025.