Dr. Gregory M Moore
Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic
16846 Newburgh Rd
Livonia
, Michigan 48154-1600
Dr. Gregory M Moore
Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic
16846 Newburgh Rd
Livonia
, Michigan 48154-1600
(586) 350-2644
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Gregory M Moore
- 33900 Harper Ave Ste 104
- Clinton Twp, MI
- Zip : 48035-4258
- Phone : (586) 350-2644
Second Address
- Dr. Gregory M Moore
- 16846 Newburgh Rd
- Livonia, MI
- Zip : 48154-1600
- Phone : (734) 402-2335
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501015482 | MI |
| N | 2251S0007X | Physical Therapist - Sports | 5501015482 | MI |
| N | 2251X0800X | Physical Therapist - Orthopedic | 5501015482 | MI |
National Provider Identifier
| NPI | 1508162660 |
|---|---|
| Provider Name | Dr. Gregory M Moore |
| First Address | Clinton Twp, MI 48035-4258 |
| Second Address | Livonia, MI 48154-1600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2011 |
| Last Update Date | 25/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.