Kyle A Moore, PTA
Physical Therapy Assistant in Paterson, New Jersey
1083825277- Practice location
- 540 Straight St, Paterson, NJ 07503-3239
- Phone
- 973-782-5550
- Fax
- 973-782-5548
- Last updated
- July 8, 2026
Kyle Andre Moore is a Physical Therapy Assistant based in Paterson, NJ. Kyle Andre Moore practices in Paterson, NJ and has the professional credentials of PTA. The NPI Number for Kyle Andre Moore is 1083825277 and holds a License No. 40qb00186200 (NJ). The current practice location address for Kyle Andre Moore is 540 Straight St, Paterson, NJ 07503-3239 and can be reached out via phone at 973-782-5550 and via fax at 973-782-5548.
Provider Profile Details
- NPI Number
- 1083825277
- Provider Name
- Kyle Andre Moore
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 540 Straight St, Paterson, NJ 07503-3239
- Phone Number
- 973-782-5550
- Fax Number
- 973-782-5548
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 27, 2007
- Last Update Date
- July 8, 2026
- Certification Date
- July 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Straight St
Paterson, NJ 07503-3239 - City
- Paterson
- State
- New Jersey
- Zip
- 07503-3239
- Phone Number
- 973-782-5550
- Fax Number
- 973-782-5548
Provider Business Mailing Address Details
- Address
- 91 21ST St
Irvington, NJ 07111-4558 - City
- Irvington
- State
- NJ
- Zip
- 07111-4558
- Phone Number
- 973-373-1819
- Fax Number
- 973-373-1819
License Information
- License Number
- 40qb00186200
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kyle A Moore, PTA?
The NPI number of Kyle A Moore, PTA is 1083825277. It was assigned on May 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Kyle A Moore, PTA?
Kyle A Moore, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40qb00186200.
Where does Kyle A Moore, PTA practice?
The practice location is 540 Straight St, Paterson, NJ 07503-3239. The office can be reached at 973-782-5550 (phone) or 973-782-5548 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083825277 directly on the NPPES registry website.