Individual provider · Type 1 NPI

Madilyn Lee Moore

Occupational Therapy Assistant · Okemos, MI

NPI number 1013842384 Active

Practice location

5211 Marsh Rd
Okemos, MI 48864-1106

Call (517) 319-1440 Map

Mailing address

2827 Hollywood St
Lansing, MI 48906-2834

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202010312 (MI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1013842384

Madilyn Lee Moore's National Provider Identifier is 1013842384, issued on Jun 16, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Okemos, MI. The record was last updated on Jun 16, 2026.