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

Mr. Ernest Leon Moore Jr.

Individual provider Rehabilitation Practitioner · NPI 1104777549

Mr. Ernest Leon Moore Jr. is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

10490 W Ann Rd
Las Vegas, NV 89149-1003
Phone: (702) 901-0200
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1104777549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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