Active NPI
Emily Moor, COTA/L
- Occupational Therapy Assistant
- Zanesville, OH
National Provider Identifier
1962826966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 04055
- Practice address
- 711 Fess St
Zanesville, OH 43701-5357 - Phone
- (740) 624-8260
- NPI assigned
- Feb 11, 2014
- Last updated
- Feb 11, 2014
- 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 Therapy Assistant | 224Z00000X | 04055 | OH | Primary |
Addresses
Primary practice location
711 Fess St
Zanesville, OH 43701-5357
Mailing address
2925 Boggs Rd
Zanesville, OH 43701-9175
Phone (740) 624-8260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04055 | Other | OH | CERTIFICATION/LICENSE NUMBER FOR OHIO OCCUPATIONAL THERAPY PRACTICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04055 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1962826966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 BOGGS RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437019175",
"telephone_number": "740-624-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 FESS ST",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437015357",
"telephone_number": "740-624-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOR",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "04055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION/LICENSE NUMBER FOR OHIO OCCUPATIONAL THERAPY PRACTICE",
"identifier": "04055",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.