Susan Louise Moore, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP007399 Issued in PA

Practice address

9 Bristol CT
Wyomissing, PA 19610-1851

Phone

(610) 670-8600

NPI assigned

Nov 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1992049159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 YELLOWWOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354611",
            "telephone_number": "610-269-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRISTOL CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101851",
            "telephone_number": "610-670-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midjinon Monjeune
• Mandalay Monsanto
• Hope Montalvo
• Rosemarie Abid Montgomery, FNP-C
• Kathleen Moore, LPC CAADC
• Stephanie Morataya, LPC
• Alina Lache Morris
• Kevin Gerard Moser
• Shelby Moses
• Michael Thomas Mosko, PSY.D.

• Occupational Therapy Assistant in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.