RICQUAVIOUS MOORE DPT
NPI 1629736665
Physical Therapist in Tucker, GA

Active since December 07, 2021
1459 MONTREAL RD STE 304, TUCKER, GA 30084(706) 832-8400 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Dec 7, 2021 (2 updates tracked since 2021).

About Ricquavious Moore Dpt NPPES

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

RICQUAVIOUS MOORE DPT (NPI 1629736665) is an individual physical therapist in Tucker, Georgia, licensed in Georgia (PT018125) and active in the NPI registry since December 2021. He maintains a secondary practice location in Columbus and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629736665
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRICQUAVIOUS MOORECredential: DPT
Location Address1459 MONTREAL RD STE 304Tucker, GA 30084-6920
Mailing Address1459 Montreal Rd Ste 304Tucker, GA 30084-6920 · (706) 832-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 7, 2021
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1629736665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in GA · PT018125
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1459 MONTREAL RD STE 304, Tucker, GA 30084

Secondary Practice Location 1

Location 11110 13th StColumbus, GA 31901-2246 · Phone (706) 221-7139

Other Identifiers 1

OtherPT018125GA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ricquavious Moore Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678068988
PECOS Enrollment IDI20251223002837

Other Providers at the Same Location NPPES 2

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

Physical Medicine & Rehabilitation
1459 MONTREAL RD STE 304
TUCKER, GA 30084
Physical Therapist
1459 MONTREAL RD STE 304
TUCKER, GA 30084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricquavious Moore's NPI number?

The NPI number for Ricquavious Moore is 1629736665. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Ricquavious Moore located?

Ricquavious Moore practices at 1459 Montreal Rd Ste 304, Tucker, GA 30084. The listed phone number is (706) 832-8400.

What is Ricquavious Moore's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ricquavious Moore enrolled in Medicare?

Yes. Ricquavious Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ricquavious Moore was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.