| Shawn A Moore, MPT, CSCS | |
|
1069 Delaware Ave, Suite 102, Marion, OH 43302-6464 | |
| (740) 382-1734 | |
| (740) 387-6918 |
| Full Name | Shawn A Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1069 Delaware Ave, Marion, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508946005 | NPI | - | NPPES |
| 2429438 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT08805 (Ohio) | Secondary |
| 225100000X | Physical Therapist | P23080 (North Carolina) | Primary |
| Provider Name | Agilitas Usa Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130807000042 |
| Provider Name | Physical Therapy And Hand Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518382357 PECOS PAC ID: 3173756632 Enrollment ID: O20140507001830 |
| Provider Name | Drayer Physical Therapy Of North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740605096 PECOS PAC ID: 2668695032 Enrollment ID: O20140603002655 |
| Provider Name | Benchmark Physical Therapy Of North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn A Moore, MPT, CSCS 218 Kitdare Dr, Delaware, OH 43015-7077 Ph: (419) 656-7084 | Shawn A Moore, MPT, CSCS 1069 Delaware Ave, Suite 102, Marion, OH 43302-6464 Ph: (740) 382-1734 |
Laurie Elaine Weaver, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Delaware Avenue, Marion, OH 43302 Phone: 740-383-8022 Fax: 740-383-7942 | |
Susan P Cotterman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1069 Delaware Ave, Suite 102, Marion, OH 43302 Phone: 740-387-1734 Fax: 740-387-6918 | |
Mark Carroll, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Delaware Avenue, Marion, OH 43302 Phone: 740-383-8022 Fax: 740-383-7942 | |
Mr. William M. Morris, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Oak St, Marion, OH 43302 Phone: 740-382-9500 | |
Sydney Carr, Physical Therapist Medicare: Medicare Enrolled Practice Location: 990 S Prospect St Ste 4, Marion, OH 43302 Phone: 513-429-9806 | |
Dale Alan Claes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1069 Delaware Ave, Suite 102, Marion, OH 43302 Phone: 740-382-1734 Fax: 740-387-6918 | |
Mrs. Kathleen Nicole Gates, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Forest Lawn Blvd, Marion, OH 43302 Phone: 740-375-8613 |