Active NPI
Laurie Johnson Moore, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1164729463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107672
- Practice address
- 1815 Enclave Pkwy
Apt. 6307
Houston, TX 77077-3671 - Phone
- (281) 920-0573
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 107672 | TX | Primary |
Addresses
Primary practice location
1815 Enclave Pkwy
Apt. 6307
Houston, TX 77077-3671
Mailing address
1307 Tracewood CV
Houston, TX 77077-1546
Phone (281) 589-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 993770 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107672 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1164729463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 TRACEWOOD CV",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771546",
"telephone_number": "281-589-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 ENCLAVE PKWY",
"address_2": "APT. 6307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770773671",
"telephone_number": "281-920-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAURIE",
"middle_name": "JOHNSON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "107672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.",
"identifier": "993770",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.