Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396455754 Individual Practitioner Female Practitioner

Holly Georgiana Moore , COTA, L

Occupational Therapy Assistant • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Holly Moore, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Tifton, GA. Practice services are available at 1401 TIFT AVE N STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1401 Tift Ave N Ste B

Tifton, GA 317943577

Telephone 2293965644
Fax 8555651769
Associated Practice Facility / Clinic
🏢 Theraplay Llc Facility NPI 1225704802

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Tifton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Tifton, GA (573 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

CMS Verified: 2022-11-28
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License GA OTA002554

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

5 Associated Practitioners
Destiny Thompson , COTA, L

Occupational Therapy Assistant

NPI 1235981911

Certified Occupational Therapy Assistant, L

Amelia Kirby , MS, CF-SLP

Speech-Language Pathologist

NPI 1306680038

Master of Science, Clinical Fellow in Speech-Language Pathology

Larry Rutland , OTR, L

Occupational Therapist

NPI 1356908420

Occupational Therapist Registered, L

Bianca Gregory , COTA, L

Occupational Therapy Assistant

NPI 1508686262

Certified Occupational Therapy Assistant, L

Julia Poch , CF, SLP

Speech-Language Pathologist

NPI 1669292678

CF, Speech-Language Pathologist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2022

Registered at 1401 TIFT AVE N STE B, TIFTON, GA 317943577 (Tel: 2293965644)

📍
Updated Business Mailing Address November 28, 2022

Registered at 69 ATWATER RD, TIFTON, GA 317948513 (Tel: 2293926922)

👤
Provider Name / Credentials Updated November 28, 2022

Recorded as HOLLY MOORE, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2022

Occupational Therapy Assistant (License #OTA002554 in GA)

🟢
Initial NPI Registration & Enumeration November 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396455754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2022
Last Update: November 28, 2022
Sole Proprietor: Yes

Mailing Address

69 Atwater Rd

Tifton, GA 317948513

Phone: 2293926922

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.