Individual provider · Type 1 NPI

Michael C. Moore, PTA

Physical Therapy Assistant · Oakdale, NY

NPI number 1366005282 Active

Practice location

305 Locust Ave
Oakdale, NY 11769-1652

Call (631) 218-5900 Map

Mailing address

38 Seminole Dr
Commack, NY 11725-4625

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X010896-1 (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 1366005282

Michael C. Moore, PTA's National Provider Identifier is 1366005282, issued on Apr 16, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oakdale, NY. The record was last updated on Apr 16, 2019.