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

Individual provider Physical Therapist · NPI 1609736156

Brayden Moore, PT, DPT is a Physical Therapist in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

103 Rosehill Dr
South Boston, VA 24592-4843
Phone: (434) 272-4201
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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 2305217331 (VA)

Record details

NPI number1609736156
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 17, 2025
Mailing address2160 Swain Rd, Halifax, VA 24558-2278

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