Active NPI
Hannah Moore Rosenbaum
- Occupational Therapist
- Little Rock, AR
National Provider Identifier
1417468810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR3052
- Practice address
- 10618 Breckenridge Dr
Little Rock, AR 72211-1802 - Phone
- (501) 217-8600
- Fax
- (501) 217-8636
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3052 | AR | Primary |
Addresses
Primary practice location
10618 Breckenridge Dr
Little Rock, AR 72211-1802
Mailing address
10618 Breckenridge Dr
Little Rock, AR 72211-1802
Phone (501) 217-8600
Other names 1
- Hannah Lynne Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10618 Breckenridge Dr
Little Rock, AR 72211-1802
Phone (501) 217-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3052 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCT, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
10618 Breckenridge Dr
Little Rock, AR 72211
Phone (501) 217-8600
1500 N Mississippi St
Little Rock, AR 72207
Phone (501) 217-8600
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": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1417468810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10618 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111802",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10618 BRECKENRIDGE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722111802",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "HANNAH",
"middle_name": "MOORE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "MOORE",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.