Stacey L S Moore, MOTR/L
NPI 1558426593ActiveIndividual· Occupational Therapist· Gresham, OR
Occupational Therapist (MOTR/L) with Rehab Specialists Outpatient LLC, practicing in Gresham, Oregon. Medicare paid $7,597 for services to 19 patients in 2024.
Overview
| NPI | 1558426593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOTR/L |
| Sole proprietor | Yes |
| NPI issued | Dec 27, 2006 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 1073412 | OR |
| Occupational Therapist | 225X00000X | OC-009631 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 337 across 6 procedure codes |
| Paid by Medicare | $7,597 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Rehab Specialists Outpatient LLCNational City, CA · 31 clinicians
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