Individual provider Active NPI

Ashly E Moore, OT

  • Occupational Therapist
  • Altoona, IA
National Provider Identifier
1174041826
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
085425 Issued in IA
Practice address
2720 8TH St SW Ste B
Altoona, IA 50009-1028
Phone
(515) 957-8609
Fax
(515) 957-9264
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 085425 IA Primary

Addresses

Primary practice location

2720 8TH St SW Ste B
Altoona, IA 50009-1028

Mailing address

2720 8TH St SW Ste B
Altoona, IA 50009-1028
Phone (515) 957-8609

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

LicenseStateTypeSpecialty
085425IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Younker Rehabilitation Therapy Services, LLC Occupational Therapist CurrentSince Jul 24, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Jul 24, 2022 Accepting new patients

Locations

2720 8th St SW
Ste B
Altoona, IA 50009
Phone (515) 957-3663

Organizations & group practices 2

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174041826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091028",
            "telephone_number": "515-957-8609",
            "fax_number": "515-957-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091028",
            "telephone_number": "515-957-8609",
            "fax_number": "515-957-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "085425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.