Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tierra Moore

Individual provider Physical Therapist · NPI 1588520621

Tierra Moore is registered under Physical Therapist in Private Practice in Lithonia, Georgia. Graduated from Emory University School of Medicine in 2025, 1 year ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2026
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Practice location Address checks out

3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Phone: (770) 987-1122
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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 PT018141 (GA)

Record details

NPI number1588520621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2026
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Independent Physical Therapy of Georgia LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 529 clinicians in the practice; 12 are shown here.

Other providers in Lithonia