Olivia Moore, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011567 Issued in OH

Practice address

1800 W State St
Fremont, OH 43420-1636

Phone

(419) 332-6709

NPI assigned

Dec 11, 2021

Last updated

Oct 1, 2024By 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

Enrolled in OH

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Toledo Medical College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Services Rehabilitation IncGroup PAC ID 2567487887, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P.T. Services Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Wellington, OH
  • NPI 1972505576
  Medicare reassignment Care Compare group NPD
• P T Services Rehabilitation Inc

  • Occupational Therapy Assistant
  • Tiffin, OH
  • NPI 1003289174
  NPD (past)

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1386303972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PERU CENTER RD N",
            "city": "MONROEVILLE",
            "state": "OH",
            "postal_code": "448479593",
            "telephone_number": "419-706-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201636",
            "telephone_number": "419-332-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "OLIVIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momma's House Community Development Center, Inc.
• Monica Jay, MSW, Lisw-S, LLC
• Monica Jay, MSW, Lisws, LLC
• Christian Moore
• Jason T Moore, HAS
• Kaila McKenzie Morroney
• Jeremy Richard Murray, CDCA
• Michele Music-Harrington
• Katherine Kay Myerholtz, NP-C
• Leandra Marie Myerholtz

• Occupational Therapist in Fremont, OH
• Providers in Fremont, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.