ELLICIA NOVELLA MOORE CMT
NPI 1700758141
Massage Therapist in Los Angeles, CA

Q: What is Ellicia Moore's NPI number?

The NPI number for Ellicia Moore is 1700758141. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Ellicia Moore's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Ellicia Moore was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 23, 2025

912 S DACOTAH ST, LOS ANGELES, CA 90023(310) 591-0326 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ellicia Novella Moore Cmt NPPES

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

ELLICIA NOVELLA MOORE CMT (NPI 1700758141) is an individual massage therapist in Los Angeles, California, licensed in California (99760) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1700758141

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameELLICIA NOVELLA MOORECredential: CMT

Location Address912 S DACOTAH STLos Angeles, CA 90023-1623

Mailing Address912 S Dacotah StLos Angeles, CA 90023-1623 · (310) 591-0326

Phone(310) 591-0326

Sole ProprietorYes

Enumeration DateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1700758141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 99760

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

912 S DACOTAH ST, Los Angeles, CA 90023

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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

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 Ellicia Moore's NPI number?

The NPI number for Ellicia Moore is 1700758141. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Ellicia Moore located?

Ellicia Moore practices at 912 S Dacotah St, Los Angeles, CA 90023. The listed phone number is (310) 591-0326.

What is Ellicia Moore's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ellicia Moore was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.