Individual provider Active NPI

Ann Marie Moore, OTRL, MSR

  • Occupational Therapist
  • Spartanburg, SC
National Provider Identifier
1952512154
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2437 Issued in SC
Practice address
2400 Winchester PL Ste 102B
Spartanburg, SC 29301-1518
Phone
(864) 576-7188
Fax
(864) 576-8909
NPI assigned
May 28, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2437 SC Primary

Addresses

Primary practice location

2400 Winchester PL Ste 102B
Spartanburg, SC 29301-1518

Mailing address

8811 Warren H Abernathy Hwy
Spartanburg, SC 29301-1228
Phone (864) 574-7282

Other practice location 1

175 Burdette St
Spartanburg, SC 29307-1003
Phone (864) 596-8491

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952512154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 WARREN H ABERNATHY HWY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011228",
            "telephone_number": "864-574-7282",
            "fax_number": "864-574-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WINCHESTER PL STE 102B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011518",
            "telephone_number": "864-576-7188",
            "fax_number": "864-576-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Burdette St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071003",
            "country_code": "US",
            "telephone_number": "864-596-8491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "OTRL, MSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.