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

Mr. Gary Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1407151756

Mr. Gary Moore, PTA is a Physical Therapy Assistant in Newton, Kansas. Licensed in Kansas. Registered with an NPI since 2011.

Licensed in
KS
In the registry since
2011
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

200 SW 14th St
Newton, KS 67114-4701
Phone: (316) 283-4770
Fax: (316) 283-5199
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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 14-01561 (KS)

Record details

NPI number1407151756
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESJanuary 18, 2011
Mailing address200 Sw 14th St, Newton, KS 67114-4701

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