Antwon Moore

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

570 W Cheyenne Ave Ste 10
North Las Vegas, NV 89030-3931

Phone

(702) 633-5096

NPI assigned

Aug 31, 2026

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1366350233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 POLARIS AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028359",
            "telephone_number": "702-633-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W CHEYENNE AVE STE 10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303931",
            "telephone_number": "702-633-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANTWON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie Montoya, LCSW
• Scolastica Jepngetich Moogi
• Jeff C Moon, D.O.
• Jonalyn Moore-Venton
• Antoinette L Moore
• Arshell Moore
• Brittney Moore
• Corey A Moore, LCPC-I
• Dewayne L Moore
• Jacqueline Moore

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.