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

Shatavia Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1245910397

Shatavia Moore, PTA is a Physical Therapy Assistant in West Memphis, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2023
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

200 W Broadway St
West Memphis, AR 72301-3904
Phone: (870) 394-7000
Fax: (870) 394-7001
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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 4855 (AR)

Record details

NPI number1245910397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address200 W Broadway St, West Memphis, AR 72301-3904

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