Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bobby Moore DPT, PLLC

Organization Physical Therapy Clinic/Center · NPI 1003504317

Bobby Moore DPT, PLLC is a Physical Therapy Clinic/Center in Oklahoma City, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

249 NW 71st St
Oklahoma City, OK 73116
Phone: (580) 364-3312
Fax: (405) 592-5297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1003504317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Moore — Physical Therapist · (580) 364-3312
Other names Sideout Sports Physical Therapy
NPI enumeratedApril 25, 2023
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address18221 Camborne Ave, Edmond, OK 73012-3221

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