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

Mrs. Jennifer Lynn Moore, COTA

Individual provider Occupational Therapy Assistant · NPI 1992964639

Mrs. Jennifer Lynn Moore, COTA is an Occupational Therapy Assistant in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4341 Birch Street Selective Rehab
Newport Beach, CA 92660
Phone: (949) 475-1002
Fax: (949) 475-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA864 (CA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 864 (CA)

Record details

NPI number1992964639
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 6, 2008
Last updated in NPPESJuly 14, 2009

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