DR. KELLY ANNE MOORE (NPI# 1871002725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871002725 |
| Entity Type | Individual |
| Full Name | DR. KELLY ANNE MOORE |
| Credential | OT |
| Practice Address |
14645 Sw Farmington Rd Beaverton OR 97007-2727 |
| Mailing Address |
11761 Nw Blackhawk Dr Portland OR 97229-8807 |
| Practice Telephone | 5036438626 |
| Mailing Telephone | 5037780551 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 391117 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30900 Sw Parkway Ave, Wilsonville, OR 970707835 | 5036822840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
| 1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| 1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
| 1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
| 1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
| 1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
| Street Address |
14645 SW FARMINGTON RD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631036 | Maryville Nursing Home | Skilled Nursing Facility | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2005-07-07 |
| 1831744119 | Kyana Paratore | Occupational Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2019-08-05 |
| 1235617705 | Emily Kozlowski | Occupational Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2018-08-06 |
| 1568958452 | Olivia Michelle Arakawa | Occupational Therapist | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2018-07-03 |
| 1053814087 | Naomi J Beale | Speech-Language Pathologist | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2018-03-15 |
| 1336681527 | Amy M Czupryn | Physical Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2016-11-05 |
| 1184096323 | Jordan Horner | Speech-Language Pathologist | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2015-10-27 |
| 1467835017 | Mackie Marinello | Physical Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2015-07-01 |
| 1891176061 | Alexis Perez | Occupational Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2015-06-14 |
| 1174904791 | Akeakamai Rose | Occupational Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2015-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066429 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 10065 Sw Nimbus Ave, Beaverton, OR 97008-7177 | 2018-03-16 |
| 1740637123 | Bonnie Lynn Slauterbeck | Occupational Therapist | 6158 Sw Zabaco Ter, Beaverton, OR 97078-5562 | 2016-05-16 |
| 1871947556 | Therapeutic Associates, Inc. | Occupational Therapist | 1 Sw Bowerman Dr, Beaverton, OR 97005-0979 | 2016-04-19 |
| 1982067815 | Therapeutic Associates Inc | Occupational Therapist | 3101 Sw 153rd Dr, Beaverton, OR 97003-5166 | 2016-03-29 |
| 1841685872 | Traci Carlson | Occupational Therapist | 16679 Nw Norwalk Dr, Beaverton, OR 97006-5280 | 2015-04-07 |
| 1740674886 | Kathleen O'day | Occupational Therapist | 13255 Sw Haystack Dr, Beaverton, OR 97008-8035 | 2015-03-26 |
| 1013305572 | Christine-elise Ligan Tolfo | Occupational Therapist | 9400 Sw Beaverton Hillsdale Hwy Ste 210, Beaverton, OR 97005-3300 | 2015-01-06 |
| 1912329459 | Cooperative Therapies Nw | Occupational Therapist | 7759 Sw Cirrus Dr, Beaverton, OR 97008-5968 | 2014-01-17 |
| 1891116505 | Jane Malone | Occupational Therapist | 17433 Sw October Ct, Beaverton, OR 97006-7555 | 2013-12-23 |
| 1437584687 | Lee Melchior | Occupational Therapist | 6255 Sw King Blvd, Beaverton, OR 97008-5310 | 2013-09-06 |
| Find all providers in BEAVERTON | ||||
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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.