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

Mathew Moore

Individual provider Physical Therapist · NPI 1295825644

Mathew Moore is a Physical Therapist in Private Practice in Davis, California. Qualified in 1996, 30 years ago. Practices with Physical Edge, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1460 Drew Ave Ste 200
Davis, CA 95618-4856
Phone: (530) 753-9011
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 22276 (CA)

Record details

NPI number1295825644
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESMarch 13, 2009
Mailing address2763 Concord Ave, Davis, CA 95616-6103

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Physical Edge, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davis