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

MS. Lisa Kathleen Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1417976754

MS. Lisa Kathleen Moore, PTA is a Physical Therapy Assistant in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

9116 Foothill Blvd Ste 102
Rancho Cucamonga, CA 91730-6564
Phone: (909) 941-7177
Fax: (909) 941-1717
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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 AT2345 (CA)

Record details

NPI number1417976754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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