Candice M Moore, OTR L - Occupational Therapist in Jackson, MS

Candice M Moore, OTR L is a Occupational Therapist based in Jackson, Mississippi. Candice M Moore is licensed to practice in Mississippi (license number OT1713) and her current practice location is 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 362-0859.

NPI number for Candice M Moore is 1174699011 and her current mailing address is 766 Clearmont Dr, Pearl, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174699011.

Contact Information

Candice M Moore, OTR L
4500 Interstate 55 North, Suite 291, Highland Village,
Jackson, MS 39211
(601) 362-0859
(601) 362-0870

Map and Direction




Healthcare Provider's Profile

Full NameCandice M Moore
GenderFemale
SpecialityOccupational Therapist
Location4500 Interstate 55 North, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174699011
  • Provider Enumeration Date: 11/24/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Candice M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174699011NPI-NPPES
05170357MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT1713 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice M Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candice M Moore, OTR L
766 Clearmont Dr,
Pearl, MS 39208-6261

Ph: () -
Candice M Moore, OTR L
4500 Interstate 55 North, Suite 291, Highland Village,
Jackson, MS 39211

Ph: (601) 362-0859

Reviews and Comments


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Barbara A Wiggins, OTR/L
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