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

Nicole Moore, PT

Individual provider Physical Therapist · NPI 1114437662

Nicole Moore, PT is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2017, 9 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

911 W 38th St Ste 300
Austin, TX 78705-1161
Phone: (512) 439-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2224 Walsh Tarlton Ln Ste 150, Austin, TX 78746-7790 — (512) 439-1000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 1295017 (TX)

Record details

NPI number1114437662
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 10, 2017
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address7401 W Highway 71 Ste 130, Austin, TX 78735-8265

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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