Cody Michael Moore, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11486 Issued in CA

Practice address

15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618-3189

Phone

(949) 333-3833

NPI assigned

May 31, 2012

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1346501822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PALATINE",
            "address_2": "APPT 440",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD",
            "address_2": "STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183189",
            "telephone_number": "949-333-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Spine Center& Chiropractic Services
• Andrea C Moore, DDS
• Barbara C. Moore, M.A., CCC-SLP
• Candace Marie Moore, MFT
• Clayton Moore
• Heather Colleen Moore, RNFA
• Jonathan P Moore
• Jonathan Sidney Moore
• Katherine Moore, PSYD
• Nathaniel Lewis Moore, LMFT

• Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.