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

Benjamin Thomas Moore, DPT, PT

Individual provider Physical Therapist · NPI 1447009220

Benjamin Thomas Moore, DPT, PT is a Physical Therapist in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

445 E Chubbuck Rd
Chubbuck, ID 83202-1815
Phone: (208) 244-7794
Fax: (208) 922-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-9025 (ID)

Record details

NPI number1447009220
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address1411 Falls Ave E Ste 401, Twin Falls, ID 83301-3455

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