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

Octavia Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1578164968

Octavia Moore, PTA is a Physical Therapy Assistant in Thomasville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
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

100 Hedrick Dr
Thomasville, NC 27360-6009
Phone: (336) 472-2017
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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 A5438 (NC)

Record details

NPI number1578164968
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateOctober 30, 2020

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