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

McKinley Moore

Individual provider Physical Therapist · NPI 1457982290

McKinley Moore is a Physical Therapist in Placentia, California. Practices as a sole proprietor. Licensed in California, Minnesota and New York.

Licensed in
CA, MN, NY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

774 S Placentia Ave
Placentia, CA 92870-6826
Phone: (714) 646-8319
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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 13155 (MN)
Physical Therapist Taxonomy 225100000X · Licence 048588-01 (NY)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT297843 (CA)

Record details

NPI number1457982290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2020
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address774 S Placentia Ave, Placentia, CA 92870-6826

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