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

Mr. Michael J Moore, PTFFAAOMPT

Individual provider Physical Therapist · NPI 1104900620

Mr. Michael J Moore, PTFFAAOMPT is a Physical Therapist in Private Practice in Folsom, California. Qualified in 1975, 51 years ago. Practices with Folsom Physical Therapy and Training Center Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

115 Natoma St
Folsom, CA 95630
Phone: (916) 355-8196
Fax: (916) 355-8196
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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 7554 (CA)

Record details

NPI number1104900620
Entity typeIndividual (Type 1)
GenderMale
Credentials PTFFAAOMPT
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address115 Natoma St, Folsom, CA 95630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Folsom Physical Therapy And Training Center Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Folsom