Michele Moore, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP002617L Issued in PA

Practice address

1201 Rural Ave
Williamsport, PA 17701-1669

Phone

(570) 323-4340

NPI assigned

Mar 22, 2007

Sex

Female

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588780472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EDGEWOOD AVE",
            "city": "DUBOISTOWN",
            "state": "PA",
            "postal_code": "177026713",
            "telephone_number": "570-323-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RURAL AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011669",
            "telephone_number": "570-323-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP002617L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherylene Louise Moore, L.P.C.
• Connor Gary Moore, PA-C
• Gabrielle Moore, PA-C
• Janet Beth Moore, CRNA
• Katerina Moore, CNM
• Joshua P Moree, MD, DC
• Keri Moriarity, LAT, MS, ATC
• Joshua Morley, MD
• Kathryn Morton-Deininger, MD
• Christopher A. Moser, L.S.W.

• Occupational Therapy Assistant in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.