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

Michael C Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1366005282

Michael C Moore, PTA is a Physical Therapy Assistant in Oakdale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

305 Locust Ave
Oakdale, NY 11769-1652
Phone: (631) 218-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 010896-1 (NY)

Record details

NPI number1366005282
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 16, 2019
Last updated in NPPESApril 16, 2019
Mailing address38 Seminole Dr, Commack, NY 11725-4625

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