Erica Lenore Moore, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004911 Issued in GA

Practice address

114 Cove Brook Dr
Meridianville, AL 35759-7300

Phone

(770) 853-4599

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1659606614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24623 UNION HILL RD",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493101",
            "telephone_number": "931-427-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COVE BROOK DR",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357597300",
            "telephone_number": "770-853-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ERICA",
        "middle_name": "LENORE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7148",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McNealey Speech Therapy, LLC
• Asia McNealey, M.S, CCC-SLP
• Medsouth Meridianville LLC
• Meridianville Dental, LLC
• Andrea M Moon, CPM
• Minnie Newman, PHARMD
• Yolanda Oliver
• Trina Lynn Orr, RN
• Emanda Riah Ortiz
• Over the Horizon Counseling LLC

• Occupational Therapist in Meridianville, AL
• Providers in Meridianville, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.