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

Thea Moore, MA, OTR

Individual provider Occupational Therapist · NPI 1417673294

Thea Moore, MA, OTR is an Occupational Therapist in Summit, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

156 Mountain Ave
Summit, NJ 07901-3454
Phone: (908) 273-2613
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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 46TR00137600 (NJ)

Record details

NPI number1417673294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , OTR
Sole proprietorYes
NPI enumeratedOctober 13, 2022
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address156 Mountain Ave, Summit, NJ 07901-3454

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