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

Mary Moore

Individual provider Physical Therapist · NPI 1942984984

Mary Moore is a Physical Therapist in Private Practice in Toledo, Ohio. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

4647 Monroe St
Toledo, OH 43623-4418
Phone: (567) 290-3500
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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 PT018667 (OH)

Record details

NPI number1942984984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 11, 2023
Mailing address6441 Triple Crown Ln, Toledo, OH 43615-2443

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Toledo