Active NPI
Roxann Moore, OTR/MHS
- Occupational Therapist
- Terre Haute, IN
National Provider Identifier
1902881220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001814A
- Practice address
- 1800 S 3Rd St
Terre Haute, IN 47802-1920 - Phone
- (812) 232-4036
- Fax
- (812) 235-0420
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001814A | IN | Primary |
Addresses
Primary practice location
1800 S 3Rd St
Terre Haute, IN 47802-1920
Mailing address
3000 S State Road 135
Ste 110
Greenwood, IN 46143-9829
Phone (317) 535-4075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000316207 | Other | IN | BLUE CROSS BLUE SHIELD |
Other names 1
- Roxann Moore
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31001814A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Hand Center, Inc | Past | Accepting new patients | |
| Prorehab at Vincennes, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Hand Surgery Physician
- Terre Haute, IN
- NPI 1689873291
-
- Physical Therapy Clinic/Center
- Vincennes, IN
- NPI 1750494787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1902881220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S STATE ROAD 135",
"address_2": "STE 110",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439829",
"telephone_number": "317-535-4075",
"fax_number": "317-535-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S 3RD ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478021920",
"telephone_number": "812-232-4036",
"fax_number": "812-235-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ROXANN",
"credential": "OTR/MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001814A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000316207",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROXANN",
"last_name": "MOORE",
"credential": "OTR/MHS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.