Candice M. Moore, OTR L
Occupational Therapist · Jackson, MS
Candice M. Moore, OTR L is an occupational therapist with a practice address in Jackson, Mississippi, and NPI 1174699011, issued on Nov 24, 2006. Check the license (Mississippi OT1713, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Candice M. Moore
- Credential
- OTR L
- Primary taxonomy
- Occupational Therapist 225X00000X
- License number
- OT1713 MS
Self-reported in NPPES; status is on the state search - Practice location
- 4500 Interstate 55 North, Jackson, MS 39211
- Phone
- (601) 362-0859
- Enumerated
- Nov 24, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (601) 362-0870
- Medicaid ID
- 05170357 MS
- Entity
- Type 1 · individual
Also registered at 4500 Interstate 55 North
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jessie Davis, LPC, NCCProfessional Counselor1609615079
- James Herzog, PHDPsychologist1134135783
Verify Candice M. Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license OT1713Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Occupational Therapist providers in Mississippi
There are 951 occupational therapist records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other occupational therapist records in Mississippi
- Megan AbelHattiesburg, MS1487964920
- Morgan AbellOcean Springs, MS1972244432
- Christine Ackerman, OTGulfport, MS1033415906
- Ginger Adair, OTR/LNew Albany, MS1023326444
- Kayla Adair, OTR/LSouthaven, MS1588063762
- Rebekah AdamsOxford, MS1255903365
- Jasper Adcock, DPT, OTR/L, RHIABrandon, MS1942556311
- Trent AdkinsPhiladelphia, MS1790045276
- Bethany Aiken, OTOxford, MS1053868299
- Charles Albright, OTR/LTupelo, MS1174932834
Common questions
What is Candice M. Moore, OTR L's NPI number?
Candice M. Moore, OTR L's National Provider Identifier (NPI) is 1174699011, issued on Nov 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Candice M. Moore, OTR L located?
The NPPES record lists a practice address at 4500 Interstate 55 North, Jackson, MS, 39211. Phone: (601) 362-0859. Providers update this record themselves, so call before visiting.
How can I verify Candice M. Moore, OTR L's license?
NPPES lists Mississippi license number OT1713, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.