| 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 |