Grace Ann Moore

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA007978 Issued in OH

Practice address

522 Glenwood Ave
New Boston, OH 45662-5505

Phone

(740) 354-7761

NPI assigned

Aug 17, 2026

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

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1104731074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GLENWOOD AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GLENWOOD AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625505",
            "telephone_number": "740-354-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa L. Martin, D.M.D.
• Sara Marie McCullough, CNP
• Brianna Michelle Meade
• Veronica Lynn Middleton, LISW, LICDC-CS,TSD
• Allison Montgomery
• Kaleigh Cheyenne Moore, FNP-C
• Diane C Neal
• Stella D Neal
• Neighboring Grace Christian Counseling, Inc.
• Charles Nelson

• Occupational Therapy Assistant in New Boston, OH
• Providers in New Boston, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.