MEDICARE: FIRST CHOICE PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	363LF0000X	Family Nurse Practitioner
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1801336169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	248 COUNTRY CLUB PKWY
Second Line	:
City	:	SPRING CREEK
State	:	NV
Zip	:	89815
Country	:	US
Telephone Number	:	775-777-1276
Fax Number	:	775-777-7022

Provider Business Practice Location Address
First Line	:	2072 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-777-1276
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER/DPT
Name	:	MR. SAMUEL L MOORE
Credential	:	DPT
Telephone Number	:	775-962-2047

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	08/28/2025

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Directions to “FIRST CHOICE PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

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