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

Mr. Mark Edward Moore Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1699627349

Mr. Mark Edward Moore Jr., PTA is a Physical Therapy Assistant in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
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

3338 Hayes Tower Rd
Gaylord, MI 49735-9612
Phone: (586) 222-3696
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 5502006471 (MI)

Record details

NPI number1699627349
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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