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

Dr. Elaine Marie Moore, DPT

Individual provider Pediatric Physical Therapist · NPI 1649587486

Dr. Elaine Marie Moore, DPT is a Pediatric Physical Therapist in Boonville, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

110 Ford St
Boonville, NY 13309-1204
Phone: (315) 942-9220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 029516 (NY)

Record details

NPI number1649587486
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010

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