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MR. GLEN MOORE JR.
NPI 1801235668
Rehabilitation Practitioner in Las Vegas, NV

Active since June 14, 2013
2625 S DURANGO DR, APT 201, LAS VEGAS, NV 89117(313) 244-5112 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Glen Moore Jr. NPPES

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

MR. GLEN MOORE JR. (NPI 1801235668) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1801235668
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. GLEN MOORE JR.
Location Address2625 S DURANGO DR, APT 201Las Vegas, NV 89117-2881
Mailing Address2625 S Durango Dr, Apt 201Las Vegas, NV 89117-2881 · (313) 244-5112
Phone(313) 244-5112
Sole ProprietorNo
Enumeration DateJune 14, 2013
✔ NPI 1801235668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2625 S DURANGO DR, Las Vegas, NV 89117
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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 Glen Moore's NPI number?

The NPI number for Glen Moore is 1801235668. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Glen Moore located?

Glen Moore practices at 2625 S Durango Dr Apt 201, Las Vegas, NV 89117. The listed phone number is (313) 244-5112.

What is Glen Moore's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Glen Moore was last updated on June 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.