Tracy Nicole Moon, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3000 Celebration Blvd
Suwanee, GA 30024-1054

Phone

(678) 425-7467

NPI assigned

Aug 30, 2020

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

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Weston Group Inc.

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1679186514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 BELMONT HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078953",
            "telephone_number": "784-257-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CELEBRATION BLVD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241054",
            "telephone_number": "678-425-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie L Montes, LMT
• Chelsea Moodie, LPC
• Sumana Moole, MD
• Dana Moon, DC
• Kylie Moon
• Austin Moore, ATC
• Kellin Moore, RBT
• Roslyn Moore
• Temarah Moore, RBT
• Tiara Moore, RBT

• Occupational Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.