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

Mr. Cory Ryan Moore

Individual provider Occupational Therapy Assistant · NPI 1952802167

Mr. Cory Ryan Moore is an Occupational Therapy Assistant in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2018

Practice location Address checks out

13501 N Bryant Ave
Edmond, OK 73013-6242
Phone: (405) 246-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 864 (OK)

Record details

NPI number1952802167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018
Mailing address12390 Autumn Brk, Guthrie, OK 73044-7593

Other providers in Edmond