Individual provider Active NPI

Dianne Marie Murray Moore, OTR/L

  • Occupational Therapist
  • Carlsbad, CA
National Provider Identifier
1104394972
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT18973 Issued in CA
Practice address
5810 El Camino Real Ste a
Carlsbad, CA 92008-8819
Phone
(760) 929-8269
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT18973 CA Primary

Addresses

Primary practice location

5810 El Camino Real Ste a
Carlsbad, CA 92008-8819

Mailing address

1950 Cherrywood St
Vista, CA 92081-7359
Phone (570) 690-4079

Other names 1

  • Dianne Murray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715003493 CA Practitioner - Occupational Therapist in Private Practice 4183169014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suru Physical Therapy IncGroup PAC ID 7810341278, 2 clinicians

Practice addresses (Care Compare)

2122 N Broadway
Santa Ana, CA 92706-2614
Phone (310) 400-0457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18973CAMDPhysical Therapist
OT18973CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients
New Life Healthcare, LLC Past Accepting new patients

Locations

7020 Manzanita St
La Costa, CA 92011
Phone (424) 313-5988

12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694

Organizations & group practices 3

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1104394972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CHERRYWOOD ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817359",
            "telephone_number": "570-690-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 EL CAMINO REAL STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088819",
            "telephone_number": "760-929-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY MOORE",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT18973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "MURRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.

Verify at the official NPI Registry.