Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Janine M Moore, PT, MS, OCS, CERTMDT

Individual provider Physical Therapist · NPI 1982779880

Mrs. Janine M Moore, PT, MS, OCS, CERTMDT is a Physical Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

75 Sheldon Ave SE Ste 101
Grand Rapids, MI 49503-4224
Phone: (616) 391-2420
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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 5501009567 (MI)

Record details

NPI number1982779880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , MS , OCS , CERTMDT
Sole proprietorNo
NPI enumeratedNovember 24, 2006
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022

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