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

Connie W Moore, PT

Individual provider Physical Therapist · NPI 1063840163

Connie W Moore, PT is a Physical Therapist in Private Practice in Flowood, Mississippi. Graduated from University of Mississippi School of Medicine in 1993, 33 years ago. Practices with Specialized Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
33
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2013
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

533B Keyway Dr
Flowood, MS 39232-8809
Phone: (601) 420-0717
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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 PT1290 (MS)

Record details

NPI number1063840163
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 29, 2013
Last updated in NPPESOctober 29, 2013
Mailing address533b Keyway Dr, Flowood, MS 39232-8809

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Specialized Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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