Brandi Moore
Individual provider Active NPI Occupational Therapist · Odessa, DE
NPI 1063979581 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1063979581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- U1-0001998 (DE)
- Practice address
- 313 S 5TH St
Odessa, DE 19730-2078 - Phone
- (302) 376-4128
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0001998 | DE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients | |
| Kidztherapy Networks Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0001998 | DE | Yes |
Addresses
Primary practice location
313 S 5TH St
Odessa, DE 19730-2078
Mailing address
5424 Killens Pond Rd
Felton, DE 19943-1902
Phone (302) 284-5810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U1-0001998 | Other | DE | STATE OF DELAWARE |
Other providers in Odessa, DE
- Ceara McGill
- Peggy McKibbin
- Karen McLellan
- Maribeth Miller
- Janet J Montanaro
- Hailey Sue Morelos
- Gail Moyer
- Kathleen Myers
- Loretta Newsom
- Kailey Rene Olinger
All providers in Odessa, DE · Occupational Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.