Individual provider · Type 1 NPI

Jordan Nicole Moore

Occupational Therapy Assistant · Lima, OH

NPI number 1336083088 Active

Practice location

1920 Slabtown Rd
Lima, OH 45801-3309

Call (419) 303-6436 Map

Mailing address

4170 Road 151
Grover Hill, OH 45849-9322

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA006231 (OH)

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 1336083088

Jordan Nicole Moore's National Provider Identifier is 1336083088, issued on Apr 15, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lima, OH. The record was last updated on Apr 15, 2026.