Active NPI
Laura Beth Moore, OTR
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1205314911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-007773
- Practice address
- 5545 E Lee St
Tucson, AZ 85712-4205 - Phone
- (520) 296-2306
- NPI assigned
- Aug 3, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4382 | AL | |
| Occupational Therapist | 225X00000X | 4524 | TN | |
| Occupational Therapist | 225X00000X | OTH-007773 | AZ | Primary |
Addresses
Primary practice location
5545 E Lee St
Tucson, AZ 85712-4205
Mailing address
7414 S Via Casa Elegante
Tucson, AZ 85756-8376
Other practice location 1
600 Corley Ave
Boaz, AL 35957-5952
Phone (256) 593-8380
Other names 1
- Laura Foley
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 |
|---|---|---|---|
| OTH-007773 | AZ | MD | Occupational Therapist |
| 4524 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1205314911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7414 S VIA CASA ELEGANTE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857568376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5545 E LEE ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124205",
"telephone_number": "520-296-2306"
}
],
"practiceLocations": [
{
"address_1": "600 Corley Ave",
"address_purpose": "LOCATION",
"city": "Boaz",
"state": "AL",
"postal_code": "359575952",
"country_code": "US",
"telephone_number": "256-593-8380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4382",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4524",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-007773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "FOLEY",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.