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Deactivated NPI 1689990681 Deactivated / Inactive NPI Female Practitioner

Ami Moore , COTA

Occupational Therapy Assistant • Philadelphia, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ami Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 15, 2010
NPI Deactivation Date August 02, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Ami Moore, COTA was a registered Occupational Therapy Assistant practicing in Philadelphia, PA. Throughout an active medical career spanning 11 years, Ami Moore provided care at the practice location at 215 CHURCH STREET until profile deactivation on 2021-08-02.

Practice Location & Contact Primary Location

Practice Address

215 Church Street
3rd Floor

Philadelphia, PA 19106

Telephone 8779746383

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.0 Yrs
Regional Practice Density
91 Specialists

Practicing in Philadelphia, PA (2193 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 IL 0570001296

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

3 Associated Practitioners
Sandy Brezinski , PTA

Physical Therapist

NPI 1245548866

Physical Therapist Assistant

Angenette Asaju

Occupational Therapist

NPI 1639473457
Willie Blair , OT

Occupational Therapist

NPI 1669780276

Occupational Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

NPI Profile Active April 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2010

Registered at 215 CHURCH STREET, 3RD FLOOR, PHILADELPHIA, PA 19106 (Tel: 8779746383)

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Updated Business Mailing Address April 15, 2010

Registered at 910 W. VAN BUREN STREET, #242, CHICAGO, IL 60610 (Tel: 8472847760)

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Provider Name / Credentials Updated April 15, 2010

Recorded as AMI MOORE, COTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2010

Occupational Therapy Assistant (License #0570001296 in IL)

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Initial NPI Registration & Enumeration April 15, 2010

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: 1689990681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2010
Last Update: April 15, 2010
Deactivation Date: August 02, 2021

Mailing Address

910 W. Van Buren Street, #242

Chicago, IL 60610

Phone: 8472847760

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.