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

Geoffrey Paul Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1518549849

Geoffrey Paul Moore, PTA is a Physical Therapy Assistant in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3050 Centre Pointe Dr Ste 200
Roseville, MN 55113-1179
Phone: (651) 631-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A704 (MN)

Record details

NPI number1518549849
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address3050 Centre Pointe Dr Ste 200, Roseville, MN 55113-1179

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