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

Logan M Moore, PT

Individual provider Physical Therapist · NPI 1477999449

Logan M Moore, PT is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2013, 13 years ago. Practices with Foothills Sports Medicine and Rehabilitation LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7707 W Deer Valley Rd Ste: 100
Peoria, AZ 85382-2101
Phone: (623) 376-9100
Fax: (623) 376-9141
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10255 (AZ)
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1477999449
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 17, 2013
Last updated in NPPESMay 17, 2013
Mailing address4715 N 32nd St, Ste: 108, Phoenix, AZ 85018-3300

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Foothills Sports Medicine And Rehabilitation Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria