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

Sheronda Chantell Moore, MSOT, OTR/L

Individual provider Occupational Therapist · NPI 1730544842

Sheronda Chantell Moore, MSOT, OTR/L is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Indiana, North Carolina and South Carolina.

Years since qualifying
6
Licensed in
IN, NC, SC
In the registry since
2015
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

7136 Gettysburg Pike
Fort Wayne, IN 46804-5680
Phone: (260) 745-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 88001256A (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 9065 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 3992 (SC)

Record details

NPI number1730544842
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTR/L
Sole proprietorNo
NPI enumeratedDecember 17, 2015
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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