DAPHNE MOORE (NPI# 1104380906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104380906 |
| Entity Type | Individual |
| Full Name | DAPHNE MOORE |
| Practice Address |
1207 Timber Line Dr Valdosta GA 31602-3732 |
| Practice Telephone | 2295600172 |
| Mailing Telephone | 2295600172 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002351 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164617353 | Daphne I Moore | Non-emergency Medical Transport (VAN) | 7548 Rolling Hill Rd, North Prince George, VA 23860-8000 | 2007-09-11 |
| Street Address |
1207 TIMBER LINE DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063876811 | Billie Creech | Occupational Therapy Assistant | 2941 N Ashley St, Suite D, Valdosta, GA 31602-5945 | 2016-04-07 |
| 1649664012 | Randrea Donaldson | Occupational Therapy Assistant | 202 W Park Ave, Valdosta, GA 31602-2507 | 2015-03-24 |
| 1871987222 | Joshua Powell | Occupational Therapy Assistant | 202 W Park Ave, Valdosta, GA 31602-2507 | 2015-03-24 |
| 1437599107 | Felicia Andrea Williams | Occupational Therapy Assistant | 202 W Park Ave, Valdosta, GA 31602-2507 | 2013-06-26 |
| 1396010955 | Desiree C Tippins | Occupational Therapy Assistant | 202 W Park Ave, Valdosta, GA 31602-2507 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.