KELLY SUE MOORE DPT
NPI 1235016163
Physical Therapist - Neurology in Wichita, KS

Q: What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1235016163. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Q: What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 20, 2025

1151 N ROCK RD, WICHITA, KS 67206(316) 634-3693 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Sue Moore Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SUE MOORE DPT (NPI 1235016163) is an individual neurology provider in Wichita, Kansas, licensed in Kansas (1104142) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1235016163

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameKELLY SUE MOORECredential: DPT

Location Address1151 N ROCK RDWichita, KS 67206-1262

Mailing Address12509 W Kenny CirWichita, KS 67235-1956 · (316) 651-3482

Phone(316) 634-3693

Sole ProprietorNo

Enumeration DateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1235016163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in KS · 1104142

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

1151 N ROCK RD, Wichita, KS 67206

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA MARIE HAMMOND OTR, CDRS

Occupational Therapist (Driving and Community Mobility)