Andrea Nicole Moore, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13803283-4201 Issued in UT

Practice address

5284 S. Commerce Dr.
Suite C214
Murray, UT 84107

Phone

(801) 871-5492

NPI assigned

Jun 19, 2020

Reactivated

Feb 28, 2024

Last updated

Feb 28, 2024By the provider in NPPES

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

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Utah School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment Care Compare group NPD
• Children in Motion, LLC

  • Occupational Therapist
  • Murray, UT
  • NPI 1922770502
  NPD
• University of Utah Adult Services

  dba University of Utah Hospital Rheumatology Division

  • Rheumatology Physician
  • Salt Lake City, UT
  • NPI 1104220904
  NPD
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1679199251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 S. COMMERCE DR.",
            "address_2": "SUITE C214",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "636-579-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 S. COMMERCE DR.",
            "address_2": "SUITE C214",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-871-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-02-28",
        "certification_date": "2020-06-19",
        "deactivation_date": "2024-01-29",
        "reactivation_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "13803283-4201",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinci Montano
• Isabelle Lisa Montgomery, CPM, LDEM
• Jesse Robertson Montgomery, COTA/L
• Jayaprakash Moodalagiriappa, MD
• Dehvan Moon
• Courtney Moore
• Eric Moore, MBBS
• Matt Moore
• Stephen Hart Moore
• Tamara Dawn Moores Todd, MD

• Occupational Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.