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

Mr. Andrew L. Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1003612003

Mr. Andrew L. Moore, PTA is a Physical Therapy Assistant in Blythewood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

420-B McNulty Road Po Box 219
Blythewood, SC 29016-8926
Phone: (803) 728-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 6817 (SC)

Record details

NPI number1003612003
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025

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