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

MS. Andrea Nicole Moore, MOT

Individual provider Behavior Technician · NPI 1679199251

MS. Andrea Nicole Moore, MOT is an Occupational Therapist in Private Practice in Murray, Utah. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5284 S Commerce Dr Ste C214
Murray, UT 84107
Phone: (801) 871-5492
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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 13803283-4201 (UT)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1679199251
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESFebruary 28, 2024
Certification dateJune 19, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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