MRS. SHELLY MOORE (NPI# 1730535022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730535022 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY MOORE |
| Credential | COTA/L |
| Practice Address |
18504 Bothell Way Ne Bothell WA 98011-1927 |
| Practice Telephone | 4254811933 |
| Practice Fax Number | 4254819371 |
| Mailing Telephone | 4254811933 |
| Mailing Fax Number | 4254819371 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OC 60597494 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715926 | Shelly M Moore | Midwife | 696 Roy Grider Rd, Summer Shade, KY 42166-7631 | 2013-08-23 |
| 1487657037 | Shelly L. Moore | Nurse Practitioner | 1263 Elk St, Franklin, PA 16323-1312 | 2005-05-27 |
| 1487137485 | Shelly Moore | Developmental Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-09-14 |
| 1205176039 | Shelly Ann Moore | Specialist | 34 Margaret Dr, Queensbury, NY 12804-9164 | 2013-02-14 |
| 1558520353 | Shelly Moore | Physical Therapy Assistant | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-05 |
| Street Address |
18504 BOTHELL WAY NE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538070 | Stephanie Lyn Boyle | Speech-Language Pathologist | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2007-06-27 |
| 1699372664 | Meghan Patton | Physical Medicine & Rehabilitation | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2020-10-02 |
| 1972152478 | Stacy Beth Wien | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-09-06 |
| 1699327395 | Matthew Glass | Occupational Therapist | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-07-12 |
| 1649732330 | Loretta L Longsine | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-04-02 |
| 1437611043 | Collier Daniels-hall | Occupational Therapist | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-04-02 |
| 1306325436 | Lacey Schauberger | Physical Therapist | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2018-08-09 |
| 1861986085 | Kayleigh Melissa Ash | Specialist/Technologist | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2018-06-20 |
| 1770073496 | Angelina I Orivka | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2018-05-17 |
| 1942790266 | Christopher P Rothmier | Occupational Therapist | 18504 Bothell Way Ne, Bothell, WA 98011 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1023507522 | Sarah Walker | Occupational Therapy Assistant | 20328 Bothell Everett Hwy Apt B202, Bothell, WA 98012-8138 | 2018-05-09 |
| 1386036929 | Steven Liu | Occupational Therapy Assistant | 3714 226th St Se, Bothell, WA 98021-7071 | 2015-02-18 |
| 1972152478 | Stacy Beth Wien | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-09-06 |
| 1649732330 | Loretta L Longsine | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2019-04-02 |
| 1467801597 | Rebekah Brown | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011 | 2016-06-09 |
| 1255787545 | Kelsey Klemm | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942439 | Kathleen A Villyard | Occupational Therapy Assistant | 1102 Ross Ave Nw, Orting, WA 98360-7495 | 2020-08-12 |
| 1386252641 | Aynabeba Negatu Bekele | Occupational Therapy Assistant | 1203 170th Pl Sw, Lynnwood, WA 98037-3327 | 2020-07-22 |
| 1194345819 | Katie Chapman | Occupational Therapy Assistant | 14240 Se 18th St Apt D4, Bellevue, WA 98007-6025 | 2020-04-22 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1962040493 | Patricia Bradley-bunn | Occupational Therapy Assistant | 7311 Coal Creek Pkwy Se Apt K201, Newcastle, WA 98059-3068 | 2019-12-16 |
| 1568009009 | Samantha Kay Hobbs | Occupational Therapy Assistant | 3014 Smithers Ct S, Renton, WA 98055-5034 | 2019-12-03 |
| 1801438411 | Wendy Evelyn Lowe | Occupational Therapy Assistant | 106 Monroe Rd, Port Angeles, WA 98362-8695 | 2019-10-15 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1285286864 | Michele E Cary | Occupational Therapy Assistant | 710 Feildstone Dr Sw, Olympia, WA 98502-9851 | 2019-07-12 |
| 1710544523 | Debra Bilbrey | Occupational Therapy Assistant | 19742 Ash Crest Loop Ne, Poulsbo, WA 98370-7390 | 2019-05-28 |
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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.