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

Tony Randelle Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1649516600

Tony Randelle Moore, PTA is a Physical Therapy Assistant in Plano, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2012
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

5072 W Plano Pkwy Ste 100
Plano, TX 75093-4476
Phone: (972) 818-3888
Fax: (972) 818-3889
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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 2057719 (TX)

Record details

NPI number1649516600
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 19, 2012

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