David Glen Moore, P.T.
Individual provider Active NPI Physical Therapist · Alpahretta, GA
NPI 1457398786 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1457398786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 5755 North Point Parkway
Suite 56
Alpahretta, GA 30022 - Phone
- (770) 908-0740
- Fax
- (770) 908-0463
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence Medical of Olean, PLLC | Past | Accepting new patients | |
| Fitness Forum of Georgia | Physical Therapist | Past | Accepting new patients |
| Backstrong Non-Surgical Rehab Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
5755 North Point Parkway
Suite 56
Alpahretta, GA 30022
Mailing address
2175 Northlake Parkway
Suite 137
Tucker, GA 30084
Phone (770) 908-0740
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.