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

Michael M Moore, DPT

Individual provider Physical Therapist · NPI 1023683760

Michael M Moore, DPT is a Physical Therapist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2021 Mahaney Ave
Tahlequah, OK 74464-5794
Phone: (918) 458-5115
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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 6041 (OK)

Record details

NPI number1023683760
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address1519 Northpark Dr, Tahlequah, OK 74464-6240

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