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Deactivated NPI 1679199251 Deactivated / Inactive NPI Female Practitioner

Andrea Nicole Moore , MOT

Occupational Therapist • Murray, UT

✓ Accepts Medicare Assignment
⚠️

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, Andrea Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2020
NPI Deactivation Date January 29, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Andrea Moore, MOT was a registered Occupational Therapist in Murray, UT. Prior to record deactivation on 2024-01-29, Andrea Moore completed approximately 1 years of clinical practice following graduation from University Of Utah School Of Medicine in 2023.

Andrea Moore was affiliated with University Of Utah Adult Services and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5284 S. Commerce Dr.
Suite C214

Murray, UT 84107

Telephone 8018715492
Associated Practice Facility / Clinic
🏢 Children In Motion, Llc Facility NPI 1922770502

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Murray, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -9.9 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
76 Specialists

Practicing in Murray, UT (1042 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

Clinical Seniority & Experience Comparison

Dr. Moore (3 Years) 3 Yrs
Murray Specialty Average (12.9 Years) 12.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-06-19
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License UT 13803283-4201

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Hospital & Practice Group Affiliations

University Of Utah Adult Services

50 N Medical Dr, Salt Lake City, UT 841320100

Phone: 8015856387

Practice Associates & Co-Workers

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

3 Associated Practitioners
Laura Gruenwald , OTR, L

Occupational Therapist - Pediatrics

NPI 1225894421

Occupational Therapist Registered, L

Isabel Lewis , OTR, L

Occupational Therapist

NPI 1356022339

Occupational Therapist Registered, L

William Tucker , OTR, L

Occupational Therapist

NPI 1467318915

Occupational Therapist Registered, L

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 28, 2024

Registered at 5284 S. COMMERCE DR., SUITE C214, MURRAY, UT 84107 (Tel: 8018715492)

📍
Updated Business Mailing Address February 28, 2024

Registered at 5284 S. COMMERCE DR., SUITE C214, MURRAY, UT 84107 (Tel: 6365792994)

👤
Provider Name / Credentials Updated February 28, 2024

Recorded as ANDREA MOORE, MOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2024

Behavior Technician

⚠️
NPI Profile Deactivated January 29, 2024

Record deactivated on January 29, 2024

NPI Profile Active June 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2020

Registered at 6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 841213060 (Tel: 8019354171)

📍
Updated Business Mailing Address June 19, 2020

Registered at 72 W 880 N APT 2, PROVO, UT 846043486 (Tel: 6365792994)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as ANDREA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 19, 2020

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: 1679199251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2020
Last Update: February 28, 2024
Deactivation Date: January 29, 2024
Sole Proprietor: No

Mailing Address

5284 S. Commerce Dr., Suite C214

Murray, UT 84107

Phone: 6365792994

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.