Michael M Moore, DPT | |
2021 Mahaney Ave, Tahlequah, OK 74464-5794 | |
(918) 458-5115 | |
Not Available |
Full Name | Michael M Moore |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2021 Mahaney Ave, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023683760 | NPI | - | NPPES |
200994650A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6041 (Oklahoma) | Primary |
Provider Name | Excel Therapy Specialists, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033277413 PECOS PAC ID: 1759294689 Enrollment ID: O20031107000094 |
Provider Name | Excel Therapy Specialists--okc Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649643180 PECOS PAC ID: 6305142886 Enrollment ID: O20160309001385 |
Mailing Address | Practice Location Address |
---|---|
Michael M Moore, DPT 1519 Northpark Dr, Tahlequah, OK 74464-6240 Ph: (405) 802-2086 | Michael M Moore, DPT 2021 Mahaney Ave, Tahlequah, OK 74464-5794 Ph: (918) 458-5115 |
Philip Lee Hill, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 409 Daisy Dr, Ste F2, Tahlequah, OK 74464 Phone: 918-458-9235 Fax: 918-458-9236 | |
Dr. Adam K Richards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3491 | |
Dr. Eric Everett Rouse, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 Mahaney Ave Ste 6, Tahlequah, OK 74464 Phone: 918-458-5115 Fax: 918-458-5119 | |
Mr. Carl Brent Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 Mahaney Ave., Ste. 6, Northeastern Physical Rehab, Tahlequah, OK 74464 Phone: 918-458-5115 Fax: 918-458-5119 | |
Mrs. Sharon Lea Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-458-2410 Fax: 918-458-2411 | |
Clint Raymer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1920 |