Active NPIIndividual provider

Kelly Moore, OTR/L

Occupational Therapist in Westfield, Massachusetts

NPI Number1174840698
Practice location
209 Root RD, Suite #2, Westfield, MA 01085-9832
Fax
413-568-5983
Last updated
April 23, 2010

Kelly Moore is an Occupational Therapist based in Westfield, MA. Kelly Moore practices in Westfield, MA and has the professional credentials of OTR/L. The NPI Number for Kelly Moore is 1174840698 and holds a License No. 7579 (MA). The current practice location address for Kelly Moore is 209 Root RD, Suite #2, Westfield, MA 01085-9832 and can be reached out via phone at 413-568-3942 and via fax at 413-568-5983.

Provider Profile Details

NPI Number
1174840698
Provider Name
Kelly Moore
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
209 Root RD, Suite #2, Westfield, MA 01085-9832
Phone Number
413-568-3942
Fax Number
413-568-5983
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
-- Kelly Wooldridge (Former Name)
Provider Enumeration Date
April 23, 2010
Last Update Date
April 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Root RD
Suite #2
Westfield, MA 01085-9832
Zip
01085-9832
Phone Number
413-568-3942
Fax Number
413-568-5983
Westfield, MA 01085Get directions →

Provider Business Mailing Address Details

Address
209 Root RD
Suite #2
Westfield, MA 01085-9832
City
Westfield
State
MA
Zip
01085-9832
Phone Number
413-568-3942
Fax Number
413-568-5983

License Information

License Number
7579
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Moore, OTR/L?

The NPI number of Kelly Moore, OTR/L is 1174840698. It was assigned on April 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Kelly Moore, OTR/L?

Kelly Moore, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 7579.

Where does Kelly Moore, OTR/L practice?

The practice location is 209 Root RD, Suite #2, Westfield, MA 01085-9832. The office can be reached at 413-568-3942 (phone) or 413-568-5983 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174840698 directly on the NPPES registry website.

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