Active NPI
Abigail Faith Moore, OTR/L
- Occupational Therapist
- Jacksonville, NC
National Provider Identifier
1467050245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13608
- Practice address
- 708 Christopher CT
Jacksonville, NC 28546-5849 - Phone
- (910) 467-5127
- NPI assigned
- Oct 13, 2020
- 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 | 13608 | NC | Primary |
Addresses
Primary practice location
708 Christopher CT
Jacksonville, NC 28546-5849
Mailing address
708 Christopher CT
Jacksonville, NC 28546-5849
Phone (910) 467-5127
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 |
|---|---|---|---|
| 13608 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech 4 Kidz Inc. | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Jacksonville, NC
- NPI 1114972411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1467050245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 CHRISTOPHER CT",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465849",
"telephone_number": "910-467-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 CHRISTOPHER CT",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465849",
"telephone_number": "910-467-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ABIGAIL",
"middle_name": "FAITH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.