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

Mrs. Amy Moore, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1104232420

Mrs. Amy Moore, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Baton Rouge, Louisiana. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2014
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Practice location Address checks out

7301 Hennessy Blvd Ste 101
Baton Rouge, LA 70808-4384
Phone: (225) 767-5004
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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 08800 (LA)

Record details

NPI number1104232420
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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