Justin L Moore, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT013701L Issued in PA

Practice address

987 Brookville St
Fairmount City, PA 16224-0046

Phone

(814) 275-1000

Fax

(814) 275-1003

NPI assigned

Aug 11, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Physical Therapy Inc.

  • Specialist
  • Fairmount City, PA
  • NPI 1710921408
  Authorized official Same address or phone

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366444267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "987 BROOKVILLE STREET",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162240046",
            "telephone_number": "814-275-1000",
            "fax_number": "814-275-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162240046",
            "telephone_number": "814-275-1000",
            "fax_number": "814-275-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT013701L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Keister, MPT
• Jamie Mangini
• Crystal Meier, CRNP
• Marcy L Monrean, PA-C
• Moore Physical Therapy Inc.
• Ahmad Nabatchi, MD
• Abigail Kathleen Selfridge
• Jayme L Shaffer
• Lana J Smith, C.R.N.P
• Barry James Snyder, MD

• Specialist in Fairmount City, PA
• Providers in Fairmount City, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.