OrganizationActive
Bobby Moore Dpt, PLLC
NPI 1003504317 · Physical Therapy Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1003504317
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bobby Moore, Physical Therapist(580) 364-3312
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
249 Nw 71st Street
Oklahoma City, OK 73116
Phone: (580) 364-3312
Fax: (405) 592-5297
Approximate (ZIP-level) locationGet directions
Mailing address
18221 Camborne Ave
Edmond, OK 73012-3221
Other names (DBA / former)
- Doing business as
- Sideout Sports Physical Therapy
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.