Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN THOMAS MOORE, DPT, PT
ActiveBENJAMIN THOMAS MOORE, DPT, PT is a Physical Therapy Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1447009220 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHUBBUCK, ID
Registration Details
- NPI Number
- 1447009220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2024 (2.2217129824477 yrs)
- Last Updated
- May 29, 2024
- License
-
PT-9025 (ID)
Practice Information
- Address
-
445 E CHUBBUCK RDCHUBBUCK, ID, 832021815Browse ID providers · Browse ZIP 83202
- Phone
- 2082447794
- Fax
- 2089227242
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| DERRICK NORTHRUP | P.T. | 1124196340 |
| DR. TIMOTHY ANDREW FLICKER | MPT, DPT, CSCS | 1215088059 |
| BRENT E DOBSON | PT | 1871756742 |
| DR. GRACE ELAINE JORY | PT, DPT | 1881824902 |
| JARED L MCKEE | DPT | 1649401407 |
| DEREK J SCHELSKE | PT | 1336438894 |
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.