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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL RYAN MOORE, DPT

Active

MICHAEL RYAN MOORE, DPT is a Physical Therapy Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1033422902 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHARLESTON, SC

Registration Details

NPI Number
1033422902
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2010 (16.06197773739 yrs)
Last Updated
Dec 10, 2025
Licenses
2305206565 (VA)
8765 (SC)

Practice Information

Address
628TH MEDICAL GROUP
204 WEST HILL BLVD
CHARLESTON, SC, 29404
Browse SC providers · Browse ZIP 29404
Phone
8045715000
Fax
8045181314
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CHARLESTON, SC

Name Credential NPI
KELLY J LENZ PT 1891775045
MR. THOMAS J SCOTT PT 1285608117
AMANDA HEYBOER M.P.T. 1457317836
DR. MICHAEL JOHN BRAUN DPT 1174581961
MS. CYNTHIA POLIARD PT 1740238567
MRS. MARILYN SWYGERT PT 1619903366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.