Tony Randelle Moore, P.T.A.

Physical Therapy Assistant · Plano, TX

Individual Active NPI

NPI number 1649516600

Practice location

5072 W Plano Pkwy
Suite 100
Plano, TX 75093-4476
Phone
(972) 818-3888
Fax
(972) 818-3889

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NPI record

NPI
1649516600
Entity type
Individual (Type 1)
Enumeration date
December 19, 2012
Last updated
December 19, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2057719 TX

About Tony Moore

Tony Randelle Moore, P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476. The NPI number 1649516600 was assigned on December 19, 2012 and the record was last updated on December 19, 2012.

Tony Moore lists a license in the registry: #2057719 (TX) 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 Tony Randelle Moore, P.T.A.?

The NPI number is 1649516600.

What is the phone number of Tony Moore?

The phone number listed for the practice location is (972) 818-3888.

Where is Tony Moore located?

5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476.

What is the taxonomy code for Tony 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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