Individual provider Active NPI

Kayla Moore

  • Occupational Therapist
  • Martinsville, VA
National Provider Identifier
1285422006
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010907 Issued in VA
Practice address
128 Fayette St
Martinsville, VA 24112-2620
Phone
(276) 352-4465
Fax
(276) 293-1212
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 0119010907 VA Primary

Addresses

Primary practice location

128 Fayette St
Martinsville, VA 24112-2620

Mailing address

128 Fayette St
Martinsville, VA 24112-2620
Phone (276) 352-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250712000080 VA Practitioner - Occupational Therapist in Private Practice 8820503550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Therapies Co Occupational Therapist CurrentSince May 7, 2025 Accepting new patients

Locations

128 Fayette St
Martinsville, VA 24112
Phone (276) 352-4465

7195 Booker T Washington Hwy
Unit 3
Wirtz, VA 24184
Phone (276) 352-4465

Organizations & group practices 1

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1285422006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122620",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122620",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.