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

Shenicki Coleman Moore

Individual provider Occupational Therapist · NPI 1336629708

Shenicki Coleman Moore is an Occupational Therapist in Private Practice in Katy, Texas. Qualified in 2013, 13 years ago. Works from 11 locations. Licensed in California, Colorado, Nevada and Texas.

Years since qualifying
13
Licensed in
CA, CO, NV, TX
In the registry since
2018
Specialties on file
7
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Practice location Address checks out

810 S Mason Rd
Katy, TX 77450-3895
Phone: (281) 652-5200
Fax: (818) 357-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 3356 W Ball Rd Ste 219, Anaheim, CA 92804-3728 — (818) 894-2273
  • 599 S Barranca Ave Ste 555, Covina, CA 91723-2791 — (818) 894-2273
  • 5806 Pacific Blvd, Huntington Park, CA 90255-2618 — (818) 894-2273
  • 4300 Long Beach Blvd Ste 700, Long Beach, CA 90807-2000 — (818) 894-2273
  • 6420 Wilshire Blvd Ste 600, Los Angeles, CA 90048-5521 — (818) 894-2273
  • 8929 Aero Dr Ste E, San Diego, CA 92123-2231 — (858) 277-2277
  • 6320 Canoga Ave Fl 15, Woodland Hills, CA 91367-2563 — (818) 894-2273
  • 3920 W Charleston Blvd Ste Y, Las Vegas, NV 89102-1633 — (818) 894-2273
  • 1306 E Calvada Blvd, Pahrump, NV 89048-2797 — (818) 894-2273
  • 3540 Valmont Ave, Beaumont, TX 77706-6730 — (601) 665-8117

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 116327 (TX)
Occupational Therapist Taxonomy 225X00000X · Licence 28310 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence OT-2804 (NV)
Occupational Therapist Taxonomy 225X00000X (CO)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X
Gerontology Occupational Therapist Taxonomy 225XG0600X
Gerontology Occupational Therapist Taxonomy 225XG0600X (TX)

Record details

NPI number1336629708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address3540 Valmont Ave, Beaumont, TX 77706-6730

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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