Dana Moore Elliot, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Pineville, NC

NPI 1407018385 · NPPES record last updated Nov 17, 2009

Key facts

NPI
1407018385
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
6232 (NC)
Practice address
561 N Polk St
Pineville, NC 28134-8563
Phone
(704) 889-7828
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6232NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Therapy LLC Pediatrics Current Accepting new patients
Touchstone Therapy, Inc. Pediatrics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6232 NC Yes

Addresses

Primary practice location

561 N Polk St
Pineville, NC 28134-8563

Mailing address

561 N Polk St
Pineville, NC 28134-8563
Phone (704) 889-7828

Other providers in Pineville, NC

All providers in Pineville, NC · Pediatric Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.