Candice Moore, OTR L
NPI 1174699011 · Occupational Therapist · Jackson, MS
Candice Moore, OTR L is a Occupational Therapist provider in Jackson, MS (NPI 1174699011).
Provider details
- NPI number
- 1174699011
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT1713 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Candice Moore's NPI number?
- Candice Moore's National Provider Identifier (NPI) is 1174699011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Candice Moore's specialty?
- Candice Moore is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Candice Moore located?
- Candice Moore's practice location on file with NPPES is 4500 Interstate 55 North, Jackson, MS 39211.
- What is Candice Moore's phone number?
- The practice phone number listed in the NPPES registry for Candice Moore is (601) 362-0859.
- Is Candice Moore's NPI active?
- Yes — Candice Moore's NPI (1174699011) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.