Haley Davis Moore, OTR
Occupational Therapist in Winston-Salem, NC. Individual provider (NPI-1).
NPI number1417152240
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1417152240
- Entity type
- Individual (NPI-1)
- Name
- Haley Davis Moore
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2007
- Certification date
- Oct 25, 2024
- Last updated
- Oct 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6199 | NC | Yes |
Practice location
1199 Hayes Forest Dr.Winston-Salem, NC 27106
Phone 336-759-1044
Mailing address
101 Brightwater DrMyrtle Beach, SC 29579-8275
Phone 843-903-8300
Other practice locations
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Myrtle Beach, SC 29579-8275
Phone 843-903-8300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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