| Thomas Haywood Moore, PT, DPT | |
|
1 Washington Ave Apt 330, Wyandanch, NY 11798-2446 | |
| (318) 564-4100 | |
| Not Available |
| Full Name | Thomas Haywood Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1 Washington Ave Apt 330, Wyandanch, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225605496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 046181 (New York) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Haywood Moore, PT, DPT 1 Washington Ave Apt 330, Wyandanch, NY 11798-2446 Ph: (318) 564-4100 | Thomas Haywood Moore, PT, DPT 1 Washington Ave Apt 330, Wyandanch, NY 11798-2446 Ph: (318) 564-4100 |
Kinjal Vyas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 Station Dr, Wyandanch, NY 11798 Phone: 631-242-4545 Fax: 631-242-0885 |