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

Individual provider Occupational Therapist · NPI 1093923864

Mr. Jason Ellis Moore, OTR is an Occupational Therapist in Marietta, Ohio. Practices as a sole proprietor. Licensed in Ohio and West Virginia.

Licensed in
OH, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

35 Edmar Ave
Marietta, OH 45750-7603
Phone: (740) 373-0761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.006728 (OH)
Occupational Therapist Taxonomy 225X00000X · Licence 1318 (WV)

Record details

NPI number1093923864
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007

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