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

Dr. Staci Jennifer Moore, DPT

Individual provider Physical Therapist · NPI 1124336490

Dr. Staci Jennifer Moore, DPT is a Physical Therapist in Pomona, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
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

801 Corporate Center Dr
Pomona, CA 91768
Phone: (909) 623-1954
Fax: (909) 623-4988
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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 36505 (CA)

Record details

NPI number1124336490
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 20, 2010
Last updated in NPPESSeptember 20, 2010

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