Elizabeth Moore, MOT, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Lookout Mountain, TN
NPI 1972293983 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1972293983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 4761 (TN)
- Practice address
- 210 Franklin Rd
Lookout Mountain, TN 37350-1224 - Phone
- (423) 635-3035
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4761 | TN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4761 | TN | Yes |
Addresses
Primary practice location
210 Franklin Rd
Lookout Mountain, TN 37350-1224
Mailing address
PO Box 4362
Chattanooga, TN 37405-0362
Other providers in Lookout Mountain, TN
- James Logan Drew
- Terri Frazier Dunn
- Independent Physical Therapy
- Leigh Carter Kuyrkendall
- Lookout Mountain Physical Therapy, LLC
- Nathan H Mull IV LLC
- Amanda Jo Temple
- Kate Townsend
All providers in Lookout Mountain, TN · Pediatric Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.