MICHELLE MOORE OTR
NPI 1023274628
Occupational Therapist in Peoria, AZ

Active since August 03, 2008Accepts Medicare Assignment
12679 W DESERT MIRAGE DR, PEORIA, AZ 85383(719) 217-7822 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Feb 23, 2021 (2 updates tracked since 2021).

About Michelle Moore Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MOORE OTR (NPI 1023274628) is an individual occupational therapist in Peoria, Arizona, licensed in Arizona (008034) and active in the NPI registry since August 2008. She maintains 2 additional practice locations and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023274628
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMICHELLE MOORECredential: OTR
Location Address12679 W DESERT MIRAGE DRPeoria, AZ 85383-3412
Mailing Address12679 W Desert Mirage DrPeoria, AZ 85383-3412 · (719) 217-7822
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 3, 2008
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1023274628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in AZ · 008034
Definition
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.
12679 W DESERT MIRAGE DR, Peoria, AZ 85383

Secondary Practice Locations 2

Location 1279 Dolomite DrColorado Springs, CO 80919-2207 · Phone (719) 475-2943
Location 21255 N Arizona Ave Unit 1217Chandler, AZ 85225-0710 · Phone (602) 666-6620

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Moore Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870062748
PECOS Enrollment IDI20260520002123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1023274628. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Where is Michelle Moore located?

Michelle Moore practices at 12679 W Desert Mirage Dr, Peoria, AZ 85383. The listed phone number is (719) 217-7822.

What is Michelle Moore's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Michelle Moore enrolled in Medicare?

Yes. Michelle Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.