MR. MARK EDWARD MOORE JR. PTA
NPI 1699627349
Physical Therapy Assistant in Gaylord, MI
About Mr. Mark Edward Moore Jr. Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK EDWARD MOORE JR. PTA (NPI 1699627349) is an individual physical therapy assistant in Gaylord, Michigan, licensed in Michigan (5502006471) and active in the NPI registry since February 2026.
NPPES Registry Identity
Specialties & Licenses
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 Mark Moore's NPI number?
The NPI number for Mark Moore is 1699627349. It was assigned to this individual provider in the NPPES registry on February 13, 2026.
Where is Mark Moore located?
Mark Moore practices at 3338 Hayes Tower Rd, Gaylord, MI 49735. The listed phone number is (586) 222-3696.
What is Mark Moore's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Mark Moore was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.