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

Lance Kenneth Moore, PT, DPT

Individual provider Physical Therapist · NPI 1992466411

Lance Kenneth Moore, PT, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2021, 5 years ago. Practices with Focus Physiotherapy, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
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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 PT7251 (MS)

Record details

NPI number1992466411
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 6, 2022
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address1211 S Gloster St Ste C, Tupelo, MS 38801-6548

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Focus Physiotherapy, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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