Ricquavious Moore, DPT
NPI 1629736665 · Physical Therapist · Tucker, GA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ricquavious Moore, DPT is a Physical Therapist provider in Tucker, GA (NPI 1629736665).
Provider details
- NPI number
- 1629736665
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1110 13th StColumbus, GA 31901-2246Phone: (706) 221-7139
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Frequently asked questions
- What is Ricquavious Moore's NPI number?
- Ricquavious Moore's National Provider Identifier (NPI) is 1629736665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ricquavious Moore's specialty?
- Ricquavious Moore is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ricquavious Moore located?
- Ricquavious Moore's practice location on file with NPPES is 1459 Montreal Rd Ste 304, Tucker, GA 30084-6920.
- What is Ricquavious Moore's phone number?
- The practice phone number listed in the NPPES registry for Ricquavious Moore is (706) 832-8400.
- Does Ricquavious Moore accept Medicare?
- Ricquavious Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ricquavious Moore's NPI active?
- Yes — Ricquavious Moore's NPI (1629736665) is active in the NPPES registry as of the last update on 2025-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.