Diane Moore

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTP-OTA-LIC-2052 Issued in MT

Practice address

1221 Durston Rd
Bozeman, MT 59715-2725

Phone

(406) 582-3300

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1013343433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TRAVERTINE LN TRLR 10",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590474125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DURSTON RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152725",
            "telephone_number": "406-582-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "OTP-OTA-LIC-2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montana State University Counseling & Psychological Services
• Montana Team Physical Therapy
• Montana Vamc
• Moon Bear PLLC
• Joann Polk Moon, L.C.S.W.
• Jeff Moore, DPT
• Moos Dental of Montana PLLC
• Moos Family Chiropractic
• Moos Family Dental, PC
• Aaron Robert Moos, DC

• Occupational Therapy Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Occupational Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.