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Heidi Moore

Individual provider Active NPI Occupational Therapy Assistant · Anthony, KS

NPI 1003623562 · NPPES record last updated Dec 17, 2024

Key facts

NPI
1003623562
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18-01436 (KS)
Practice address
212 N 5TH Ave
Anthony, KS 67003-2106
Phone
(620) 491-0525
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Essentials, LLC Current Accepting new patients

Locations

212 N 5th Ave
Anthony, KS 67003
Phone (620) 491-0525

302 N Botkin St
Attica, KS 67009
Phone (316) 254-7253

1020 Main St
Kiowa, KS 67070
Phone (620) 491-0525

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01436 KS Yes

Addresses

Primary practice location

212 N 5TH Ave
Anthony, KS 67003-2106

Mailing address

316 N Wolf St
Cheney, KS 67025-8990
Phone (620) 727-5237

Other practice location 1

1020 Main St
Kiowa, KS 67070-1421
Phone (620) 491-0525

Other practice location 2

302 N Botkin St
Attica, KS 67009-9032
Phone (620) 491-0525

Other providers in Anthony, KS

All providers in Anthony, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.