Active NPI
Michelle Moore, OTR
- Occupational Therapist
- Peoria, AZ
National Provider Identifier
1023274628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008034
- Practice address
- 12679 W Desert Mirage Dr
Peoria, AZ 85383-3412 - Phone
- (719) 217-7822
- NPI assigned
- Aug 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008034 | AZ | Primary |
Addresses
Primary practice location
12679 W Desert Mirage Dr
Peoria, AZ 85383-3412
Mailing address
12679 W Desert Mirage Dr
Peoria, AZ 85383-3412
Phone (719) 217-7822
Other practice location 1
1255 N Arizona Ave Unit 1217
Chandler, AZ 85225-0710
Phone (602) 666-6620
Other practice location 2
279 Dolomite Dr
Colorado Springs, CO 80919-2207
Phone (719) 475-2943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 N Arizona Ave
Unit 1217
Chandler, AZ 85225-0710
Phone (602) 380-6807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008034 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capptcg, LLC | Single Specialty | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1023274628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12679 W DESERT MIRAGE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833412",
"telephone_number": "719-217-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12679 W DESERT MIRAGE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833412",
"telephone_number": "719-217-7822"
}
],
"practiceLocations": [
{
"address_1": "1255 N Arizona Ave Unit 1217",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852250710",
"country_code": "US",
"telephone_number": "602-666-6620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "279 Dolomite Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809192207",
"country_code": "US",
"telephone_number": "719-475-2943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "MICHELLE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-03",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "008034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.