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

Mrs. Jessica Moore, LPTA

Individual provider Physical Therapy Assistant · NPI 1801446034

Mrs. Jessica Moore, LPTA is a Physical Therapy Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone: (704) 355-8674
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A4488 (NC)

Record details

NPI number1801446034
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorYes
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019

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