Mr Troy Lance Moore, MPT, ATC is a
Physical Therapist based in Ellinwood, Kansas. Mr Troy Lance Moore is licensed to practice in Kansas (license number 11-03659) and his current practice location is
300 N Park Ave, Ellinwood, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 564-2548.
NPI number for Mr Troy Lance Moore is 1932201357 and his current mailing address is 300 N Park Ave, Ellinwood, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932201357.
Healthcare Provider's Profile
| Full Name | Mr Troy Lance Moore |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 300 N Park Ave, Ellinwood, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932201357
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 01/21/2025
Medical Identifiers
Medical identifiers for Mr Troy Lance Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932201357 | NPI | - | NPPES |
| 200400390A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | T-00797 (Kansas) | Secondary |
| 225100000X | Physical Therapist | 11-03659 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Troy Lance Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Troy Lance Moore, MPT, ATC
300 N Park Ave,
Ellinwood, KS 67526-1452
Ph: (620) 564-2548 | Mr Troy Lance Moore, MPT, ATC
300 N Park Ave,
Ellinwood, KS 67526-1452
Ph: (620) 564-2548 |
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