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

Tara Moore, PT, DPT

Individual provider Physical Therapist · NPI 1568182962

Tara Moore, PT, DPT is a Physical Therapist in Private Practice in Rochester, New York. Qualified in 2022, 4 years ago. Practices with Wellness 360 Physical Therapy and Massage PLLC, a 10-clinician group. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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

961 Panorama Trl S
Rochester, NY 14625-2311
Phone: (585) 482-5060
Fax: (585) 512-8372
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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 049006 (NY)

Record details

NPI number1568182962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellness 360 Physical Therapy And Massage Pllc — 10 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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