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.
- 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
8 nearest physical therapy assistant records → All 274 in Idaho → Look up another NPI →
Also registered at 500 W Aqua Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lucinda Avriett, OTROccupational Therapist1710145206
- Holly Bruns, M.P.T.Physical Therapist1033377155
- Sharon Cunningham, PTAPhysical Therapy Assistant1679530513
- Autumn DedaOccupational Therapist1154598027
- Gayle Fothergill, COTA/LOccupational Therapy Assistant1184882680
- Jacob GroverPhysical Therapist1952186314
Verify Kevin Dwayne Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license PTA344Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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.
All 274 in Idaho → Every provider in Coeur D Alene → Physical Therapy Assistant nationwide →
The 8 physical therapy assistant records with the nearest ZIP codes
- Sharon Cunningham, PTACoeur D Alene, ID 838151679530513
- Eryn Fink, PTACoeur D Alene, ID 838151235657164
- Mary Kodak, PTACoeur D Alene, ID 838151427216928
- Hailey Olsen, PTACoeur D Alene, ID 838151215195714
- Anna Owens, PTACoeur D Alene, ID 838151548076417
- Barbara AparicioCoeur D Alene, ID 838141992133110
- Shawna BluemerCoeur D Alene, ID 838141528450145
- 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.