Brady Moran, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018039456 Issued in MO

Practice address

1155 Wentzville Pkwy Ste 123
Wentzville, MO 63385-3476

Phone

(636) 332-1313

NPI assigned

Nov 2, 2021

Sex

Male

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1457016768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY STE 123",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-332-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY STE 123",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-332-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "BRADY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018039456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Anyce Moore, LPC
• Christa Moore, LPC
• Elaine Susan Moore, RDH
• Jason Wade Moore, PLPC
• Tiffany Annette Moore, MA
• Summer Lacole Morefield
• Morganics, LLC (ProActive Chiropractic & Rehab)
• Jenna M Morrison, PLPC
• Lindsay Mosley
• Cynthia L Mueller, PHD

• Occupational Therapist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.