Individual provider Active NPI

Moira Cleary, OT

  • Occupational Therapist
  • East Liverpool, OH
National Provider Identifier
1760776751
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003356 Issued in OH
Practice address
15765 State Route 170 Ste 2
East Liverpool, OH 43920-9600
Phone
(330) 386-5252
Fax
(330) 386-3555
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003356 OH Primary

Addresses

Primary practice location

15765 State Route 170 Ste 2
East Liverpool, OH 43920-9600

Mailing address

15765 State Route 170 Ste 2
East Liverpool, OH 43920-9600
Phone (330) 386-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT003356OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peace & Resilience Parenting Program, Inc. CurrentSince Aug 3, 2011 Accepting new patients

Locations

1755 W Market St
#D
Akron, OH 44313
Phone (234) 738-5560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1760776751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15765 STATE ROUTE 170 STE 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209600",
            "telephone_number": "330-386-5252",
            "fax_number": "330-386-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15765 STATE ROUTE 170 STE 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209600",
            "telephone_number": "330-386-5252",
            "fax_number": "330-386-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "MOIRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT003356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.