Miguel Donato Mora

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3792 Issued in OK

Practice address

1251 W Houston St
Broken Arrow, OK 74012-3734

Phone

(539) 367-4500

NPI assigned

Jul 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": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1699658500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 E 32ND ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741101113",
            "telephone_number": "620-214-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W HOUSTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123734",
            "telephone_number": "539-367-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "MIGUEL",
        "middle_name": "DONATO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Moore, B.S.
• Dawn Michelle Moore, B.H.R.S.
• Lori Lynn Moore, COTA/L
• Mariana Jocelyn Moore
• Wendell C Moore, BHRS
• Ruby Christine Morain, BHRS
• Tracy Latisha Moreno
• Torrie Moreton
• Ashley Carol Morgan
• Catherine S. Morgan, LCSW

• Physical Therapy Assistant in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapy Assistant in Oklahoma

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