KELLYE MOORE
NPI 1700503273
Rehabilitation Practitioner in Los Angeles, CA

Active since October 25, 2022
1721 GRIFFIN AVE, LOS ANGELES, CA 90031(323) 221-3231 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellye Moore NPPES

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

KELLYE MOORE (NPI 1700503273) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1700503273
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKELLYE MOORE
Location Address1721 GRIFFIN AVELos Angeles, CA 90031-3312
Mailing Address1721 Griffin AveLos Angeles, CA 90031-3312 · (323) 221-4134
Sole ProprietorYes
Enumeration DateOctober 25, 2022
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1700503273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1721 GRIFFIN AVE, Los Angeles, CA 90031

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.

Case Manager/Care Coordinator
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Student in an Organized Health Care Education/Training Program
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Marriage & Family Therapist
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Case Manager/Care Coordinator
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Marriage & Family Therapist
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Social Worker (Clinical)
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Rehabilitation Practitioner
1721 GRIFFIN AVE
LOS ANGELES, CA 90031
Student in an Organized Health Care Education/Training Program
1721 GRIFFIN AVE
LOS ANGELES, CA 90031

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 Kellye Moore's NPI number?

The NPI number for Kellye Moore is 1700503273. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Kellye Moore located?

Kellye Moore practices at 1721 Griffin Ave, Los Angeles, CA 90031. The listed phone number is (323) 221-3231.

What is Kellye Moore's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kellye Moore was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.