MR. TROY LANCE MOORE (MPT, ATC) – Physical Therapist, NPI 1932201357

Physical Therapist

MR. TROY LANCE MOORE (MPT, ATC) is a healthcare provider. based in Great bend, Kansas. specializing in Physical Therapist. They hold the professional credentials MPT, ATC. They hold a License No. T-00797 (KS). The NPI Number for MR. TROY LANCE MOORE (MPT, ATC) is 1932201357

Main info

Male

20 Years Of Experience

Accepts Medicare Assignment

Name

MR. TROY LANCE MOORE (MPT, ATC)

NPI

1932201357

Phone

(620) 792-7868

Address

1514 K 96 HWY

Enumeration Date

5 September 2006

Last Update Date

21 January 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6207924383

Graduation Year

2006 (20 years ago)

PAC ID

2769483007

Group Practice PAC ID

6901705789

Professional Enrollment ID

I20070129000721

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. TROY LANCE MOORE (MPT, ATC)

1514 K 96 HWY
GREAT BEND, KS 675303012
Phone: (620) 792-7868
Fax: (620) 792-7867
Type: Mailing
300 N PARK AVE
ELLINWOOD, KS 675261452
Phone: (620) 564-2548
Fax: (620) 564-2079
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67530)

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Provider's Procedures

MR. TROY LANCE MOORE (MPT, ATC) performs procedures in Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	KS	97110	Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1378	98

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6901705789View full group profile