Organization Active NPI

Moore's Therapy, LLC

Doing business as Moore Pediatric Therapy

  • Occupational Therapist
  • Lebanon, KY
National Provider Identifier
1801413927
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOORE'S THERAPY, LLC
Doing business as
Moore Pediatric Therapy
Practice address
727 W Main St
Lebanon, KY 40033-1838
Phone
(606) 627-2109
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Mrs. Marquetta R Moore, OTNPI 1295285971
Title
Owner
Phone
(606) 627-2109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

727 W Main St
Lebanon, KY 40033-1838

Mailing address

6185 Loretto Rd
Bardstown, KY 40004-9391
Phone (606) 627-2109

Other names 1

  • Moore Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

727 W Main St
Lebanon, KY 40033
Phone (270) 292-2569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1801413927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 LORETTO RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049391",
            "telephone_number": "606-627-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331838",
            "telephone_number": "606-627-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE'S THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-627-2109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.