Brayden Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217331 Issued in VA

Practice address

103 Rosehill Dr
South Boston, VA 24592-4843

Phone

(434) 272-4201

NPI assigned

Nov 17, 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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1609736156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SWAIN RD",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245582278",
            "telephone_number": "434-579-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROSEHILL DR",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924843",
            "telephone_number": "434-272-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRAYDEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Mills, FNP
• Paul Alex Mitchell, PTA
• Tracey Wallace Mitchell, L.P.T.A.
• Steven Dwayne Mize
• Ashley Bowen Moore, OTR/L
• Brittany Moore
• Samantha Louise Moreno
• Gregory Keith Morgan, PA
• Morris Optical Inc
• Kristen Michelle Moschler, CSFA

• Physical Therapist in South Boston, VA
• Providers in South Boston, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.