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

Layne Rae Moore

Individual provider Physical Therapist · NPI 1740044106

Layne Rae Moore is a Physical Therapist in Private Practice in San Antonio, Texas. Qualified in 2023, 3 years ago. Practices with Sports Medicine Associates of San Antonio PA, a 55-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

2902 Goliad Rd Ste 101
San Antonio, TX 78223-3973
Phone: (210) 904-0440
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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 CP027922T (TX)

Record details

NPI number1740044106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2024
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sports Medicine Associates Of San Antonio Pa — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Antonio