Kathleen Moore, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

00416 Issued in OH

Practice address

2140 Atlas St
Columbus, OH 43228-9647

Phone

(614) 921-7090

NPI assigned

Mar 4, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1407271190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PARK OVERLOOK DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ATLAS ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289647",
            "telephone_number": "614-921-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHLEEN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "00416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovon Moore
• Julia A Moore, LISW
• June Moore
• Kamaraugh Cerise Annq Moore, L.S.W
• Kara Anne-Scarnecchia Moore, M.A.,CCC-SLP
• Kathleen L. Moore, RD
• Kathleen Marie Moore, APRN-CNP
• Kathryn Moore
• Krista Lea Moore
• Kristie Moore

• Occupational Therapy Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.