Alicia Moat, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

5938 Issued in OH

Practice address

400 N 7TH St
Marietta, OH 45750-2024

Phone

(740) 373-3597

Fax

(740) 376-0004

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, shared by 24 NPIs, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bedford, OH
  • NPI 1689194755
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Parkersburg, WV
  • NPI 1669138806
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1811327141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N 7TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502024",
            "telephone_number": "740-373-3597",
            "fax_number": "740-376-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 7TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502024",
            "telephone_number": "740-373-3597",
            "fax_number": "740-376-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAT",
        "first_name": "ALICIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OH",
            "license": "5938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Miller, PHARMD
• Virginia Gale Milligan, LPN
• Alexander D Minard, MD
• Ellen Sue Mingus, RD LD
• Shiv Kumar Misra, DO
• Robert Moat, OTR/L
• Dreama Mongeau
• Traci Lynn Monroe, RN
• David Montgomery, D.O.
• Tamara Montgomery, D.O.

• Gerontology Occupational Therapist in Marietta, OH
• Providers in Marietta, OH by specialty
• Gerontology Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.