Active NPI
Thomas Anthony Moore
- Occupational Therapist
- Crossville, TN
National Provider Identifier
1437509429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 16838
- Practice address
- 180 Thompson Rd
Crossville, TN 38571-0755 - Phone
- (904) 806-5654
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 16838 | FL | Primary |
| Occupational Therapist | 225X00000X | 117184 | TX |
Addresses
Primary practice location
180 Thompson Rd
Crossville, TN 38571-0755
Mailing address
180 Thompson Rd
Crossville, TN 38571-0755
Phone (904) 806-5654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 16838 | FL | MD | Occupational Therapist |
| 117184 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1437509429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 THOMPSON RD",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385710755",
"telephone_number": "904-806-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 THOMPSON RD",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385710755",
"telephone_number": "904-806-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "THOMAS",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 16838",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.