Connie W. Moore, PT
NPI 1063840163ActiveIndividual· Physical Therapist· Flowood, MS
Physical Therapist (PT) in Flowood, Mississippi, trained at University of Mississippi School of Medicine (class of 1993). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1063840163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 29, 2013 |
| Last updated in NPPES | Oct 29, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT1290 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS) |
|---|
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Aegis Group Practice LLCToledo, OH · 390 clinicians
- Specialized Physical TherapyFlowood, MS · 4 clinicians
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All 80 physical therapists in Flowood · All physical therapists in Mississippi