Individual provider Active NPI

Nathanael David Moore, OTR/L

  • Hand Occupational Therapist
  • Greensboro, NC
National Provider Identifier
1871965467
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
9958 Issued in NC
Practice address
1211 Virginia St
Greensboro, NC 27401-1313
Phone
(336) 275-0927
Fax
(336) 275-4834
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 009313 OH
Hand Occupational Therapist 225XH1200X 5674 SC
Hand Occupational Therapist 225XH1200X 9958 NC Primary
Occupational Therapist 225X00000X 020010 NY
Occupational Therapist 225X00000X OC014112 PA

Addresses

Primary practice location

1211 Virginia St
Greensboro, NC 27401-1313

Mailing address

2219 Griffith Dr
Orangeburg, SC 29118-4011
Phone (412) 708-1153

Other practice location 1

665 Robinwood Dr Apt C
Pittsburgh, PA 15216-1074
Phone (412) 452-1202

Other practice location 2

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-2804

Other practice location 3

1201 Colony Dr
Apt 51
Zanesville, OH 43701-6471
Phone (412) 452-1202

Other names 1

  • Nathanael D Moore Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmoore672860@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112001184 NC Practitioner - Occupational Therapist in Private Practice 3173993938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
80.57
Promoting interoperability
100
Improvement activities
40
Cost
77.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9958NCMDPhysical Therapist
009313OHMDOccupational Therapist
OC014112PAMDOccupational Therapist
5674SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Jan 4, 2023 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jan 4, 2023 Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

4443 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 663-4600

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Organizations & group practices 3

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1871965467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 GRIFFITH DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291184011",
            "telephone_number": "412-708-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VIRGINIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011313",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Robinwood Dr Apt C",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152161074",
            "country_code": "US",
            "telephone_number": "412-452-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181442",
            "country_code": "US",
            "telephone_number": "803-395-2804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Colony Dr",
            "address_2": "Apt 51",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437016471",
            "country_code": "US",
            "telephone_number": "412-452-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATHANAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "009313",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "5674",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "9958",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020010",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmoore672860@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATHANAEL",
            "last_name": "MOORE",
            "middle_name": "D",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.