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

Heather Moore

Individual provider Physical Therapist · NPI 1619348398

Heather Moore is a Physical Therapist in Private Practice in Mankato, Minnesota. Qualified in 1998, 28 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2015
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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 385-2600
Fax: (507) 385-4810
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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 9205 (MN)

Record details

NPI number1619348398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address1025 Marsh St, Mankato, MN 56001-4752

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mankato