Kelli Moore

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OTT Z11161 Issued in LA

Practice address

4767 Painters Street
New Orleans, LA 70122

Phone

(504) 309-5811

Fax

(504) 309-5877

NPI assigned

Sep 10, 2013

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

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1134554041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 PAINTERS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701225003",
            "telephone_number": "504-670-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 PAINTERS STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70122",
            "telephone_number": "504-309-5811",
            "fax_number": "504-309-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "LA",
            "license": "OTT Z11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Moore
• Jonah R Moore, DDS
• Jywana Moore
• Karen Green Moore, WHNP
• Katera Moore
• Kevin T Moore
• Mary Katherine Moore
• Merrick Moore
• Michele R Moore
• Michelle Bacon Moore, PSY.D.

• Physical Rehabilitation Occupational Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Rehabilitation Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.