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

Mrs. Tabitha Jane Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1609140979

Mrs. Tabitha Jane Moore, PTA is a Physical Therapy Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3415 Sheridan Rd
Kenosha, WI 53140-1924
Phone: (262) 657-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 247-19 (WI)

Record details

NPI number1609140979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012
Mailing address8616 Fox Haven Chase, Sturtevant, WI 53177-2973

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