Bobby Moore Dpt, PLLC
NPI 1003504317 · Physical Therapy Clinic/Center · Oklahoma City, OK
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bobby Moore Dpt, PLLC is a Physical Therapy Clinic/Center organization in Oklahoma City, OK (NPI 1003504317).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Bobby Moore Dpt, PLLC's NPI number?
- Bobby Moore Dpt, PLLC's National Provider Identifier (NPI) is 1003504317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bobby Moore Dpt, PLLC?
- Bobby Moore Dpt, PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bobby Moore Dpt, PLLC located?
- Bobby Moore Dpt, PLLC's practice location on file with NPPES is 249 Nw 71st Street, Oklahoma City, OK 73116.
- What is Bobby Moore Dpt, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bobby Moore Dpt, PLLC is (580) 364-3312.
- Does Bobby Moore Dpt, PLLC accept Medicare?
- Bobby Moore Dpt, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bobby Moore Dpt, PLLC?
- The authorized official listed on Bobby Moore Dpt, PLLC's NPPES record is Bobby Moore, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bobby Moore Dpt, PLLC's NPI active?
- Yes — Bobby Moore Dpt, PLLC's NPI (1003504317) is active in the NPPES registry as of the last update on 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.