Individual provider · Type 1 NPI

Lena Marie Moore, PTA

Physical Therapy Assistant · Ottawa, OH

NPI number 1790637478 Active

Practice location

1880 N Perry St Ste 100
Ottawa, OH 45875-1164

Fax (419) 523-9143

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09627 (OH)

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 1790637478

Lena Marie Moore, PTA's National Provider Identifier is 1790637478, issued on Feb 13, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ottawa, OH. The record was last updated on Feb 13, 2026.