Cary C Moore, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

PHYO2060 Issued in AK

Practice address

3300 Providence Dr Ste B302
Anchorage, AK 99508-4621

Phone

(907) 212-2090

Fax

(907) 212-2570

NPI assigned

Jul 24, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Outreach Center for Understanding Special Needs Inc

  • Social Worker
  • Eagle River, AK
  • NPI 1376620179
  NPD (past)
• Providence Health & Services-Washington

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1841814795
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1013147016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE B302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084621",
            "telephone_number": "907-212-2090",
            "fax_number": "907-212-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18606 Old Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Chugiak",
            "state": "AK",
            "postal_code": "995671750",
            "country_code": "US",
            "telephone_number": "907-688-0282",
            "fax_number": "907-688-2013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 Providence Dr # A565",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084691",
            "country_code": "US",
            "telephone_number": "907-212-2321",
            "fax_number": "907-212-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARY",
        "middle_name": "C",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AK",
            "license": "2060",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "PHYO2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG121",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC1621",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Denea Moonin, N/A
• Moore Therapy LLC
• April Moore
• Bonnie Elaine Moore
• Candis Moore, RN
• Cristine Teresa Moore
• Daslie E Moore
• Diana Lou Moore
• Elizabeth Moore
• Erik Scott Moore, MD

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.