Tiara Rose Moore, OTR/L is a
Occupational Therapist - Pediatrics based in Shenandoah Junction, West Virginia. Tiara Rose Moore is licensed to practice in West Virginia (license number 1560) and her current practice location is
103 Shenandoah Junction Rd, Shenandoah Junction, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 728-7250.
NPI number for Tiara Rose Moore is 1245517960 and her current mailing address is 324 Woodpoint Ave, Hagerstown, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245517960.
Healthcare Provider's Profile
Full Name | Tiara Rose Moore |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 103 Shenandoah Junction Rd, Shenandoah Junction, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245517960
- Provider Enumeration Date: 11/09/2011
- Last Update Date: 11/09/2011
Medical Identifiers
Medical identifiers for Tiara Rose Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245517960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | 1560 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiara Rose Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tiara Rose Moore, OTR/L 324 Woodpoint Ave, Hagerstown, MD 21740-3556 Ph: (240) 291-7805 | Tiara Rose Moore, OTR/L 103 Shenandoah Junction Rd, Shenandoah Junction, WV 25442-4757 Ph: (304) 728-7250 |
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