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

Mr. Randy Michael Moore, OTR

Individual provider Occupational Therapist · NPI 1013986504

Mr. Randy Michael Moore, OTR is an Occupational Therapist in Lubbock, Texas. Licensed in Arizona, New Mexico and Texas. Registered with an NPI since 2006.

Licensed in
AZ, NM, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3114 105th St
Lubbock, TX 79423-6053
Phone: (806) 368-7759
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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 2516 (NM)
Occupational Therapist Taxonomy 225X00000X · Licence 2455 (AZ)
Occupational Therapist Taxonomy 225X00000X · Licence 106981 (TX)

Record details

NPI number1013986504
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJune 15, 2009
Mailing address3114 105th St, Lubbock, TX 79423-6053

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