Individual provider · Type 1 NPI

Grace Moore

Physical Therapy Assistant · Brookfield, WI

NPI number 1336008432 Active

Practice location

3360 Gateway Rd Ste 100
Brookfield, WI 53045-5115

Call (262) 923-7101 Map

Mailing address

1304 Oriole Dr
Kaukauna, WI 54130-2672

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4292-019 (WI)

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 1336008432

Grace Moore's National Provider Identifier is 1336008432, issued on Jan 15, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Brookfield, WI. The record was last updated on Jan 15, 2026.