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

Mr. Roosevelt Moore, RPT

Individual provider Physical Therapist · NPI 1265697304

Mr. Roosevelt Moore, RPT is a Physical Therapist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

6883 SW 194th Ave
Fort Lauderdale, FL 33332-1638
Phone: (305) 968-5622
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT14852 (FL)

Record details

NPI number1265697304
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedJuly 28, 2008
Last updated in NPPESJuly 28, 2008

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