Ronald Pete Moore
Physical Therapy Assistant in Kokomo, IN. Individual provider (NPI-1).
NPI number1801402136
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1801402136
- Entity type
- Individual (NPI-1)
- Name
- Ronald Pete Moore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2020
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 06004440A | IN | Yes |
Practice location
2312 S Dixon RdKokomo, IN 46902-6401
Phone 765-210-6850
Mailing address
2108 N 300 WKokomo, IN 46901-8375
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Kokomo, IN
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All 39 Physical Therapy Assistant providers in Kokomo · All 2,349 providers in Kokomo
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