Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Lynne Moore, MS, OTRL

Individual provider Occupational Therapist · NPI 1548385693

Kimberly Lynne Moore, MS, OTRL is an Occupational Therapist in Private Practice in Marietta, Georgia. Qualified in 2003, 23 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
23
Licensed in
GA, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

400 Tower Rd NE Ste 140
Marietta, GA 30060-9412
Phone: (866) 483-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 860 Johnson Ferry Road, Ne, Atlanta, GA 30342-1461 — (404) 252-5545

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT003944 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence 05835 (MD)

Record details

NPI number1548385693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTRL
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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