Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013306539 Individual Practitioner Male Practitioner

Raphael Moore

Occupational Therapy Assistant • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Raphael Moore is a registered healthcare professional specializing in Occupational Therapy Assistant in Lancaster, CA. Practice services are available at 1642 W AVENUE J under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1642 W Avenue J

Lancaster, CA 935342814

Telephone 6619428463
Associated Practice Facility / Clinic
🏢 Five Star Quality Care Ca Llc Facility NPI 1760437628

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Lancaster, CA (1903 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License CA 2102

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Geriane Vasquez , SLP

Speech-Language Pathologist

NPI 1023407293

Speech-Language Pathologist

Marita Bersamira , LVN

Licensed Vocational Nurse

NPI 1215237391

Licensed Vocational Nurse

Bradley Cowen , PTA

Physical Therapy Assistant

NPI 1225427594

Physical Therapist Assistant

Sridevi Surampudi

Occupational Therapist

NPI 1225429517
Marilyn Johnson

Clinic/Center - Physical Therapy

NPI 1326437773
Jerene Montelibano

Physical Therapist

NPI 1336538743

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 1642 W AVENUE J, LANCASTER, CA 935342814 (Tel: 6619428463)

📍
Updated Business Mailing Address January 21, 2015

Registered at 42422 MARSUERITE WAY, LANCASTER, CA 935364561 (Tel: 3232406237)

👤
Provider Name / Credentials Updated January 21, 2015

Recorded as RAPHAEL MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Occupational Therapy Assistant (License #2102 in CA)

🟢
Initial NPI Registration & Enumeration January 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013306539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2015
Last Update: January 21, 2015
Sole Proprietor: Yes

Mailing Address

42422 Marsuerite Way

Lancaster, CA 935364561

Phone: 3232406237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.