Michael Dale Moreland, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TA876 Issued in OK

Practice address

2150 W Elk Ave
Duncan, OK 73533-1827

Phone

(580) 251-8460

Fax

(580) 251-8979

NPI assigned

May 29, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1154214260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 NE 120TH ST",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735383805",
            "telephone_number": "580-704-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331827",
            "telephone_number": "580-251-8460",
            "fax_number": "580-251-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "TA876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Don Moore, LBP
• Stephanie Moore
• William Moore, LPC
• Oscar Morales, M.D.
• Stephanie Lauryn Morcom
• Delisa R Morgan, APRN/CNP
• Joshua Paul Morgan
• Lyndal Morgan, APRN/CNP
• Vici-Beth Morgan, SLPA
• Aftan Rachelle Morris-Gay, APRN

• Physical Medicine & Rehabilitation Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.