Dave James Moore, OTR/L

Primary specialty

Ergonomics Occupational TherapistTaxonomy code 225XE1200X

License

4262-026 Issued in WI

Practice address

807 Pleasant Valley Rd
West Bend, WI 53095-9767

Phone

(262) 675-6533

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. David James Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1932369121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 WILDFLOWER LN",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530378928",
            "telephone_number": "262-510-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959767",
            "telephone_number": "262-675-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "WI",
            "license": "4262-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "MOORE",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William H Molin
• Amy Monday
• Michelle Monroe
• Erica Monzingo, SAC-IT
• Colin James Mooney, MD
• Francesca Moore, DPT, PT
• Mary A Moore, NP
• Robert Moresco, PHARM. D.
• Julianne K Morrison, MS LPC
• G Michael Mosley

• Occupational Therapist in West Bend, WI
• Providers in West Bend, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.