Active NPIIndividual providerSole proprietor

Thea Moore, MA, OTR

Occupational Therapist in Summit, New Jersey

NPI Number1417673294
Practice location
156 Mountain Ave, Summit, NJ 07901-3454
Fax
—
Last updated
October 13, 2022

Thea Moore is an Occupational Therapist based in Summit, NJ. Thea Moore practices in Summit, NJ and has the professional credentials of MA, OTR. The NPI Number for Thea Moore is 1417673294 and holds a License No. 46TR00137600 (NJ). The current practice location address for Thea Moore is 156 Mountain Ave, Summit, NJ 07901-3454 and can be reached out via phone at 908-273-2613.

Provider Profile Details

NPI Number
1417673294
Provider Name
Thea Moore
Credential
MA, OTR
Provider Entity Type
Individual
Gender
Female
Address
156 Mountain Ave, Summit, NJ 07901-3454
Phone Number
908-273-2613
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2022
Last Update Date
October 13, 2022
Certification Date
October 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
156 Mountain Ave
Summit, NJ 07901-3454
City
Summit
Zip
07901-3454
Phone Number
908-273-2613
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
156 Mountain Ave
Summit, NJ 07901-3454
City
Summit
State
NJ
Zip
07901-3454
Phone Number
908-273-2613

License Information

License Number
46TR00137600
License State
NJ
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 Thea Moore, MA, OTR?

The NPI number of Thea Moore, MA, OTR is 1417673294. It was assigned on October 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Thea Moore, MA, OTR?

Thea Moore, MA, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00137600.

Where does Thea Moore, MA, OTR practice?

The practice location is 156 Mountain Ave, Summit, NJ 07901-3454. The office can be reached at 908-273-2613 (phone).

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 1417673294 directly on the NPPES registry website.

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