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

Randale Moore

Individual provider Physical Therapist · NPI 1972160414

Randale Moore is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2024, 2 years ago. Practices with Cuirim Sports Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2019
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Practice location Address checks out

1111 Baker St
Costa Mesa, CA 92626-4138
Phone: (949) 836-5239
Fax: (949) 301-9608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1972160414
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cuirim Sports Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Costa Mesa