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

Melissa Moore, PT

Individual provider Physical Therapist · NPI 1962292029

Melissa Moore, PT is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 2010, 16 years ago. Practices with Peacehealth, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16821 SE McGillivray Blvd Ste 104
Vancouver, WA 98683-0401
Phone: (360) 514-2048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3101 Se 192nd Ave, Vancouver, WA 98683-1442 — (360) 729-8010

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT60159557 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT60159557 (WA)

Record details

NPI number1962292029
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 10, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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