Ian W. Mora, PT

Physical Therapist · Grapevine, TX

Individual Active NPI

NPI number 1124306584

Practice location

1401 William D Tate Ave Ste 300
Grapevine, TX 76051-4024
Phone
(817) 527-3377
Fax
(817) 391-8429

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NPI record

NPI
1124306584
Entity type
Individual (Type 1)
Enumeration date
August 2, 2011
Last updated
March 20, 2024
Certified
March 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X — —
Physical Therapist 225100000X — TX

Mailing address

790 Remington Blvd Ste 1020
Bolingbrook, IL 60440-4909

Other practice locations (1)

  • 43 Waukegan Rd, Deerfield, IL 60015-4901 · (847) 498-1886

About Ian Mora

Ian W. Mora, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1401 William D Tate Ave Ste 300, Grapevine, TX 76051-4024. The NPI number 1124306584 was assigned on August 2, 2011 and the record was last updated on March 20, 2024.

Frequently asked questions

What is the NPI number of Ian W. Mora, PT?

The NPI number is 1124306584.

What is the phone number of Ian Mora?

The phone number listed for the practice location is (817) 527-3377.

Where is Ian Mora located?

1401 William D Tate Ave Ste 300, Grapevine, TX 76051-4024.

What is the taxonomy code for Ian Mora?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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