Andrea Marie Moroge, M.ED., OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT-640 Issued in ID

Practice address

895 E State St
Eagle, ID 83616-6003

Phone

(208) 860-6229

Fax

(208) 287-9426

NPI assigned

May 3, 2007

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

Other identifiers 1

Other names 1

• Andrea Weber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Sensory Bin Pediatric Therapy Clinic, PLLC

  • Occupational Therapist
  • Eagle, ID
  • NPI 1255603668
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1700098720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 E STATE ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166003",
            "telephone_number": "208-860-6229",
            "fax_number": "208-287-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROGE",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "M.ED., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "7776",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8084437",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WEBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Arleen Monroe, PH.D., LMFT
• Kristin Moore, D.C.
• Lisa June Moore, NURSE PRACTITIONER
• More, LLC
• David Eric Morledge, PHD
• Bradley Morris, PA
• Donald D. Morris, M.COUN., L.C.P.C.
• Sharon Elizabeth Morrison-Doke, M.A., CCC-SLP
• Jennifer Ann Morrison, MSPT
• Shelbi Morrison, M.ED, BCBA

• Pediatric Occupational Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.