MEDICARE: MS. MARCIE MOORE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6403	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306849070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCIE MOORE PT, DPT

Provider Business Mailing Address
First Line	:	13575 W INDIAN SCHOOL RD
Second Line	:	STE 700
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-4905
Country	:	US
Telephone Number	:	623-935-5505
Fax Number	:	623-935-5551

Provider Business Practice Location Address
First Line	:	13575 W INDIAN SCHOOL RD
Second Line	:	STE 700
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-4905
Country	:	US
Telephone Number	:	623-935-5505
Fax Number	:	623-935-5551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1639825177 — INJURY CENTERS OF ARIZONA LLC
Practice Location Address:

13575 W INDIAN SCHOOL RD STE 700
LITCHFIELD PARK, AZ
85340-4905

Practice Phone: 623-663-2410
Practice Fax: 623-663-2411

1407722358 — LITCHFIELD ANESTHESIA GROUP LLC
Practice Location Address:

13575 W INDIAN SCHOOL RD STE 700
LITCHFIELD PARK, AZ
85340-4905

Practice Phone: 623-535-9777
Practice Fax:

1326043340 — BRANCHVILLE VOLUNTEER FIRE COMPANY AND RESCUE SQUAD INC.
Practice Location Address:

4905 BRANCHVILLE RD
COLLEGE PARK, MD
20740-2012

Practice Phone: 301-883-7711
Practice Fax: 301-342-8994

1477537322 — ABIGAIL KAMISHLIAN M.D.
Practice Location Address:

4905 COURTNEY DR
FOREST PARK, GA
30297-1427

Practice Phone: 404-366-3636
Practice Fax: 404-362-0808

1891771408 — NILSA I. NAZARIO MD
Practice Location Address:

4905 COURTNEY DR
FOREST PARK, GA
30297-1427

Practice Phone: 404-366-3636
Practice Fax: 404-362-0808

1972568798 — DR. DOUGLAS A. LIENING M.D.
Practice Location Address:

1724 HAMILL ROAD , STE 102, OASIS PARK BUILDING I
HIXSON, TN
37343-4905

Practice Phone: 423-267-6738
Practice Fax: 423-209-9106

Directions to “ MS. MARCIE MOORE PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.