Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Nicole Moon, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1679186514

Tracy Nicole Moon, OTD, OTR/L is an Occupational Therapist in Private Practice in Suwanee, Georgia. Qualified in 2019, 7 years ago. Practices with The Weston Group Inc, a 223-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2020
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

3000 Celebration Blvd
Suwanee, GA 30024-1054
Phone: (678) 425-7467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1679186514
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedAugust 30, 2020
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Weston Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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