Deborah Marcella Moore, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

O131OO1848 Issued in VA

Practice address

9300 Onyx CT
Fredericksburg, VA 22407-9329

Phone

(540) 898-8238

NPI assigned

Sep 7, 2017

Sex

Female

Sole proprietor

Yes

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1447778782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 FORT LYON DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921010",
            "telephone_number": "770-881-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 ONYX CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079329",
            "telephone_number": "540-898-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEBORAH",
        "middle_name": "MARCELLA",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "O131OO1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melyssa Carroll Mooney, CRNA
• Angela Kathleen Henegar Moore, LPC
• Bonny Lauren Moore, MD
• Brittany Rheyonna Moore, PTA
• Carissa Jenay Moore
• Emily Moore
• Jason Moore, EMT-B
• Jennifer L Moore, LCSW
• Meredith Moore
• Nancy Maria Moore

• Occupational Therapy Assistant in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.