Anna Moore, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

190001 Issued in AK

Practice address

613 S Knik Goose Bay Rd Ste E
Wasilla, AK 99654-8090

Phone

(907) 317-5895

NPI assigned

Feb 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1669127395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 COUNTY ROAD 16",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435068616",
            "telephone_number": "419-551-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S KNIK GOOSE BAY RD STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548090",
            "telephone_number": "907-317-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "111464",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011444",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "190001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Rene Montague
• Michael Montano, M.D.
• Avanleigh Montgomery, PTA
• Joshua Montgomery, DMD
• Amy A Moore
• Darrell Moore
• Jennifer Moore
• John Wayne Moore, PA-C
• Judith Moore
• Martha Jane Moore, MD-MPH

• Occupational Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.