NPI age
1 years
Enumerated 2024-10-17
● Active
Type 1 · Individual
Mary Viriginia Moore
Moore is 1 of 2 physical therapy assistant providers in Wake Village and 1 of 5445 in Texas.
Primary specialty
Physical Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5445 active physical therapy assistant providers in Texas.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
600 N Kings Hwy Ste 3
Wake Village, TX 755015787
Mailing address
303 N Center St
New Boston, TX 755702918
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
303 N Center St
New Boston, TX 755702918
Location 3
5416 Plaza Dr
Texarkana, TX 755031661
Specialties
-
Physical Therapy Assistant Primary(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...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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