TONY RANDELLE MOORE (NPI# 1649516600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649516600 |
| Entity Type | Individual |
| Full Name | TONY RANDELLE MOORE |
| Credential | P.T.A. |
| Practice Address |
5072 W Plano Pkwy Suite 100 Plano TX 75093-4476 |
| Practice Telephone | 9728183888 |
| Practice Fax Number | 9728183889 |
| Mailing Telephone | 9728183888 |
| Mailing Fax Number | 9728183889 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2057719 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689840332 | Tony Curtis Moore | Counselor | 6723 17th Ave, Kenosha, WI 53143-4914 | 2008-05-02 |
| Street Address |
5072 W PLANO PKWY SUITE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057678 | Parkway Vista Dental Pllc | Dentist | 5072 W Plano Pkwy, Suite 250, Plano, TX 75093-4476 | 2005-07-19 |
| 1780122556 | Endodontic Associates of Plano, Pllc | Dentist | 5072 W Plano Pkwy, 270, Plano, TX 75093-4476 | 2017-02-01 |
| 1669849485 | Russell B Skinner Md Pa | Family Medicine | 5072 W Plano Pkwy, Suite 200, Plano, TX 75093-4476 | 2015-08-27 |
| 1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
| 1720348527 | Riddhi Patel | Physical Therapist | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-05-25 |
| 1215200027 | Adam Johnson | Physical Therapy Assistant | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-02-10 |
| 1659648947 | Terri M Jones | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-11-30 |
| 1689952954 | Angela Fredrickson | Social Worker | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-08-03 |
| 1780970640 | Pamela Rae Fischer | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-06-20 |
| 1891084521 | Assured Comprehensive Rehab, Lp | Clinic/Center | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4483 | 2011-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588221410 | Gregory J Koniuszy | Physical Therapy Assistant | 3670 Mapleshade Ln, Plano, TX 75075-5867 | 2019-05-27 |
| 1184101768 | Trevor J Johnson | Physical Therapy Assistant | 6020 W Parker Rd Ste 300, Plano, TX 75093-8177 | 2018-07-25 |
| 1710362124 | Kelly Kuntzendorf | Physical Therapy Assistant | 4106 Cummins St, Plano, IL 60545-2220 | 2015-07-27 |
| 1588058002 | John Newren | Physical Therapy Assistant | 1111 Jupiter Rd Ste 100b, Plano, TX 75074-7028 | 2015-03-23 |
| 1164865945 | Christopher A Seitz | Physical Therapy Assistant | 1901 Preston Park Blvd, Plano, TX 75093-5119 | 2013-04-11 |
| 1831248046 | Jason Jamail | Physical Therapy Assistant | 4709 W Parker Rd, Suite 515, Plano, TX 75093-3368 | 2007-01-09 |
| 1750997037 | 360 Health and Wellness Services, LLC | Physical Therapy Assistant | 5172 Village Creek Dr Ste 101, Plano, TX 75093-4444 | 2020-09-22 |
| 1043783871 | Kyle R Nelson | Physical Therapy Assistant | 1621 Coit Rd, Plano, TX 75075-6141 | 2019-01-03 |
| 1528542362 | Sandra Nicholson-harned | Physical Therapy Assistant | 3208 Thunderbird Ln, Plano, TX 75075-2321 | 2018-09-18 |
| 1851872873 | Yu-chan Shih | Physical Therapy Assistant | 2460 Marsh Ln, Plano, TX 75093-1612 | 2018-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.