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

Ondrell Moore

Individual provider Physical Therapist · NPI 1306906532

Ondrell Moore is a Physical Therapist in Private Practice in Lithia Springs, Georgia. Graduated from Louisiana State University School of Medicine in Shreveport in 1997, 29 years ago. Practices with Brewer Physical Therapy and Associates LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
29
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
GA
In the registry since
2006
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Practice location Address checks out

939 Thornton Rd
Lithia Springs, GA 30122-2634
Phone: (770) 739-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007284 (GA)

Record details

NPI number1306906532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 518, Jonesboro, GA 30237-0518

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1997 (29 years in practice)
Group practice Brewer Physical Therapy And Associates Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lithia Springs