CANDICE M. MOORE OTR L
NPI 1174699011
Occupational Therapist in Jackson, MS

Active since November 24, 2006
4500 INTERSTATE 55 NORTH, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211(601) 362-0859(601) 362-0870 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice M. Moore Otr L NPPES

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

CANDICE M. MOORE OTR L (NPI 1174699011) is an individual occupational therapist in Jackson, Mississippi, licensed in Mississippi (OT1713) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1174699011
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCANDICE M. MOORECredential: OTR L
Location Address4500 INTERSTATE 55 NORTH, SUITE 291, HIGHLAND VILLAGEJackson, MS 39211
Mailing Address766 Clearmont DrPearl, MS 39208-6261
Fax(601) 362-0870
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174699011 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 MS · OT1713
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.
4500 INTERSTATE 55 NORTH, Jackson, MS 39211

Other Identifiers 1

Medicaid05170357MS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
4500 INTERSTATE 55 NORTH, SUITE 208
JACKSON, MS 39211
Clinic/Center (Mental Health (Including Community Mental Health Center))
4500 INTERSTATE 55 NORTH, SUITE 207
JACKSON, MS 39211
Counselor (Professional)
4500 INTERSTATE 55 NORTH, SUITE 208
JACKSON, MS 39211

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 Candice Moore's NPI number?

The NPI number for Candice Moore is 1174699011. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Candice Moore located?

Candice Moore practices at 4500 Interstate 55 North Suite 291, Highland Village, Jackson, MS 39211. The listed phone number is (601) 362-0859.

What is Candice Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Candice Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.