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

Mr. Samuel L Moore, PT, DPT

Individual provider Physical Therapist · NPI 1225418999

Mr. Samuel L Moore, PT, DPT is a Physical Therapist in Private Practice in Elko, Nevada. Qualified in 2015, 11 years ago. Practices with Robert G Berry Jr Elko Chartered LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2072 Idaho St
Elko, NV 89801-2627
Phone: (775) 777-1276
Show map & directions

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

Additional practice locations (1)

  • 250 Country Club Pkwy, Spring Creek, NV 89815-5830 — (775) 777-1276

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3139 (NV)

Record details

NPI number1225418999
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 8, 2015
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Robert G Berry Jr Elko Chartered Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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