Joshua Moore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2164166 Issued in TX

Practice address

30810 Vickie LN
Magnolia, TX 77354-5758

Phone

(281) 731-2063

NPI assigned

Nov 8, 2023

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1942074208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30810 VICKIE LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545758",
            "telephone_number": "281-731-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30810 VICKIE LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545758",
            "telephone_number": "281-731-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOSHUA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2164166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Montgomery, COTA
• Roxanne Montgomery
• Carissa Marie Moore
• Christina Lynn Moore
• Courtney Moore
• Katherine E Moore, BCBA, LBA
• Travis T Moore, DC
• Jason James Moran, RN
• Joshua Aaron Morlan, PT, DPT
• Stephanie Elizabeth Morrison, CCC-SLP

• Physical Therapy Assistant in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.