Madeline Jackson Moore, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

07531 Issued in MD

Practice address

4810 Seton Dr
Baltimore, MD 21215-3210

Phone

(410) 358-8270

NPI assigned

Nov 13, 2018

Last updated

Jan 15, 2020By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1164991717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 SETON DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 SETON DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153210",
            "telephone_number": "410-358-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MADELINE",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Helen Moore, MS, CCC-SLP
• Latoria M Moore
• Laura F Moore, PAC
• Lee Moore, DNP, APRN, PMHNP-BC
• Lynnley W Moore, CCC-SLP
• Mailey Moore, SLPA
• Marquitta Moore
• Meghan Moore, P.T., D.P.T.
• Mekhi Moore
• Melita N Moore, MD

• Occupational Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.