Christina L Moore, OT
Individual provider Active NPI Occupational Therapist · Grand Junction, CO
NPI 1003370859 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1003370859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT.0000770 (CO)
- Practice address
- 3150 N 12TH St
Grand Junction, CO 81506-2863 - Phone
- (970) 241-5856
- Fax
- (970) 241-8599
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Care Partners Inc
Practice addresses (Care Compare)
3150 N 12TH St
Grand Junction, CO 81506-2863
Phone (970) 245-1220
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190219002811 | CO | Practitioner - Occupational Therapist in Private Practice | 5193063071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0000770 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Partners, Inc. | Current |
Accepting new patients | |
| Primary Care Partners, Inc. | Occupational Therapist | Current |
Accepting new patients |
| Primary Care Partners, Inc. | Past | Accepting new patients |
Locations
3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0000770 | CO | Yes |
Addresses
Primary practice location
3150 N 12TH St
Grand Junction, CO 81506-2863
Mailing address
PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 254-2642
Other names
- Christina L Reed
Other providers in Grand Junction, CO
- Monument Women'S Healthcare, LLC
- Monumental Health and Wellness LLC
- Monumental Views Optical, LLC
- Alice Rose Moore
- Anna Elisabeth Moore
- Hailey Christine Moore
- James Baker Moore
- Janet L Moore
- John William Moore III
- Kiira Moore
All providers in Grand Junction, CO · Occupational Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.