PEGGY KAY MOORE OT
NPI 1205974110
Occupational Therapist in Milwaukee, WI

Active since February 02, 2007
2906 S 20TH ST, LOWER LEVEL, MILWAUKEE, WI 53215(414) 385-6265(414) 383-5597 Get Directions Write a Review

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

About Peggy Kay Moore Ot NPPES

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

PEGGY KAY MOORE OT (NPI 1205974110) is an individual occupational therapist in Milwaukee, Wisconsin, licensed in Wisconsin (3492) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1205974110
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NamePEGGY KAY MOORECredential: OT
Location Address2906 S 20TH ST, LOWER LEVELMilwaukee, WI 53215-3732
Mailing Address2906 S 20th St, Lower LevelMilwaukee, WI 53215-3732 · (414) 385-6265 · Fax (414) 383-5597
Fax(414) 383-5597
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205974110 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 WI · 3492
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.
2906 S 20TH ST, Milwaukee, WI 53215

Other Names 1

Other Name (5)Peggy Kay Distad Ot

Other Identifiers 1

Medicaid41042300WI

Other Providers at the Same Location NPPES 20

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

Ophthalmology
2906 S 20TH ST
MILWAUKEE, WI 53215
Physical Therapist
2906 S 20TH ST
MILWAUKEE, WI 53215
Psychologist
2906 S 20TH ST
MILWAUKEE, WI 53215
Physician Assistant
2906 S 20TH ST
MILWAUKEE, WI 53215
Counselor (Professional)
2906 S 20TH ST
MILWAUKEE, WI 53215
Family Medicine
2906 S 20TH ST
MILWAUKEE, WI 53215
Radiology (Diagnostic Radiology)
2906 S 20TH ST
MILWAUKEE, WI 53215
Student in an Organized Health Care Education/Training Program
2906 S 20TH ST
MILWAUKEE, WI 53215

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 Peggy Moore's NPI number?

The NPI number for Peggy Moore is 1205974110. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Peggy Kay Distad Ot.

Where is Peggy Moore located?

Peggy Moore practices at 2906 S 20th St Lower Level, Milwaukee, WI 53215. The listed phone number is (414) 385-6265.

What is Peggy 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 Peggy 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.