NPPES file of Aug 9, 2026

Kevin Dwayne Moore, PTA

Physical Therapy Assistant · Coeur D Alene, ID

Kevin Dwayne Moore, PTA is a physical therapy assistant with a practice address in Coeur D Alene, Idaho, and NPI 1124286109, issued on May 27, 2008. Check the license (Idaho PTA344, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124286109
Name
Kevin Dwayne Moore
Credential
PTA
Primary taxonomy
Physical Therapy Assistant 225200000X
License number
PTA344 ID
Self-reported in NPPES; status is on the state search
Practice location
500 W Aqua Ave, Coeur D Alene, ID 83815
Phone
(208) 762-1122
Enumerated
May 27, 2008
Record last updated
May 27, 2008 (not updated in 18 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 500 W Aqua Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lucinda Avriett, OTROccupational Therapist1710145206
  2. Holly Bruns, M.P.T.Physical Therapist1033377155
  3. Sharon Cunningham, PTAPhysical Therapy Assistant1679530513
  4. Autumn DedaOccupational Therapist1154598027
  5. Gayle Fothergill, COTA/LOccupational Therapy Assistant1184882680
  6. Jacob GroverPhysical Therapist1952186314

Verify Kevin Dwayne Moore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PTA344
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Kevin Dwayne Moore among 274 physical therapy assistant records in Idaho

Kevin Dwayne Moore, PTA is one of 274 physical therapy assistant records with a practice address in Idaho. under 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 9% of them.

  • NPI issued2008 · 9% of these records are older, 86% newer
  • In a Medicare fileNo · under 1% of these records are
  • In the CMS Doctors and Clinicians fileNo · 1% of these records are
  • Record last updated2008 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225200000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Therapy Assistant providers in Idaho

There are 274 physical therapy assistant records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physical therapy assistant records with the nearest ZIP codes

  1. Sharon Cunningham, PTACoeur D Alene, ID 838151679530513
  2. Eryn Fink, PTACoeur D Alene, ID 838151235657164
  3. Mary Kodak, PTACoeur D Alene, ID 838151427216928
  4. Hailey Olsen, PTACoeur D Alene, ID 838151215195714
  5. Anna Owens, PTACoeur D Alene, ID 838151548076417
  6. Barbara AparicioCoeur D Alene, ID 838141992133110
  7. Shawna BluemerCoeur D Alene, ID 838141528450145
  8. Frances GeckleCoeur D Alene, ID 838141942638903

Common questions

What is Kevin Dwayne Moore, PTA's NPI number?

Kevin Dwayne Moore, PTA's National Provider Identifier (NPI) is 1124286109, issued on May 27, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Kevin Dwayne Moore, PTA located?

The NPPES record lists a practice address at 500 W Aqua Ave, Coeur D Alene, ID, 83815. Phone: (208) 762-1122. Providers update this record themselves, so call before visiting.

How can I verify Kevin Dwayne Moore, PTA's license?

NPPES lists Idaho license number PTA344, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.