MARISA MOORE
NPI 1639903826
Occupational Therapist in San Diego, CA

Active since August 29, 2024
4010 MORENA BLVD STE 103, SAN DIEGO, CA 92117(619) 356-1315 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marisa Moore NPPES

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

MARISA MOORE (NPI 1639903826) is an individual occupational therapist in San Diego, California, licensed in California (26840) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1639903826
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARISA MOORE
Location Address4010 MORENA BLVD STE 103San Diego, CA 92117-4547
Mailing Address11952 Heatherwood Hollow CtSan Diego, CA 92128-5289
Sole ProprietorNo
Enumeration DateAugust 29, 2024
Last NPPES UpdateJuly 26, 2025
NPPES CertifiedJuly 26, 2025
NPI 1639903826 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 CA · 26840
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.
4010 MORENA BLVD STE 103, San Diego, CA 92117

Other Providers at the Same Location NPPES 12

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

Speech-Language Pathologist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Speech-Language Pathologist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Speech-Language Pathologist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Speech-Language Pathologist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Speech-Language Pathologist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Occupational Therapist (Pediatrics)
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Occupational Therapist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117
Occupational Therapist
4010 MORENA BLVD STE 103
SAN DIEGO, CA 92117

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 Marisa Moore's NPI number?

The NPI number for Marisa Moore is 1639903826. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Marisa Moore located?

Marisa Moore practices at 4010 Morena Blvd Ste 103, San Diego, CA 92117. The listed phone number is (619) 356-1315.

What is Marisa 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 Marisa Moore was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.