Active NPI
Linda M Moore, MS OTR
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1053433458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001058A
- Practice address
- 4909 Leone Dr
Indianapolis, IN 46226-2577 - Phone
- (317) 549-0692
- Fax
- (317) 549-0692
- NPI assigned
- Apr 4, 2007
- 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 | 31001058A | IN | Primary |
Addresses
Primary practice location
4909 Leone Dr
Indianapolis, IN 46226-2577
Mailing address
4909 Leone Dr
Indianapolis, IN 46226-2577
Phone (317) 549-0692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31001058A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053433458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 LEONE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462262577",
"telephone_number": "317-549-0692",
"fax_number": "317-549-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 LEONE DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462262577",
"telephone_number": "317-549-0692",
"fax_number": "317-549-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001058A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.