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

Brian Thomas Moore, PT, DPT

Individual provider Physical Therapist · NPI 1417171695

Brian Thomas Moore, PT, DPT is a Physical Therapist in Private Practice in Gainesville, Georgia. Qualified in 2006, 20 years ago. Practices with Atlanta Rehabilitation and Performance Center, a 96-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2007
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

1640 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone: (770) 536-9300
Fax: (770) 536-9389
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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 PT8758 (GA)

Record details

NPI number1417171695
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address2400 Wisteria Dr, Snellville, GA 30078-2689

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Atlanta Rehabilitation And Performance Center — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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