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

Alex S Moore, PT

Individual provider Physical Therapist · NPI 1528426988

Alex S Moore, PT is a Physical Therapist in Private Practice in Salem, Utah. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

555 W Sr 164
Salem, UT 84653
Phone: (385) 203-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 W 4th Ave, Toppenish, WA 98948-1615 — (509) 865-3141

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7304875-2401 (UT)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1528426988
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 1, 2016
Last updated in NPPESNovember 27, 2023
Certification dateMarch 17, 2020
Mailing address1055 N 500 W, Att: Credentialing, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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