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

Stephen Benjamin Moore, PT, DPT

Individual provider Physical Therapist · NPI 1780481606

Stephen Benjamin Moore, PT, DPT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2024, 2 years ago. Practices with Medical Associates of Northwest Arkansas, PA, a 104-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

438 E Millsap Rd Ste 205
Fayetteville, AR 72703-4814
Phone: (479) 582-7213
Fax: (479) 435-2204
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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 5609 (AR)

Record details

NPI number1780481606
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 27, 2025
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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 Medical Associates Of Northwest Arkansas, Pa — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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