Grace Moore

Physical Therapy Assistant · Brookfield, WI

Individual Active NPI

NPI number 1336008432

Practice location

3360 Gateway Rd Ste 100
Brookfield, WI 53045-5115
Phone
(262) 923-7101

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NPI record

NPI
1336008432
Entity type
Individual (Type 1)
Enumeration date
January 15, 2026
Last updated
January 15, 2026
Certified
January 15, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 4292-019 WI

Mailing address

1304 Oriole Dr
Kaukauna, WI 54130-2672

About Grace Moore

Grace Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3360 Gateway Rd Ste 100, Brookfield, WI 53045-5115. The NPI number 1336008432 was assigned on January 15, 2026 and the record was last updated on January 15, 2026.

Grace Moore lists a license in the registry: #4292-019 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Moore?

The NPI number is 1336008432.

What is the phone number of Grace Moore?

The phone number listed for the practice location is (262) 923-7101.

Where is Grace Moore located?

3360 Gateway Rd Ste 100, Brookfield, WI 53045-5115.

What is the taxonomy code for Grace Moore?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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