| Simone Moore, OT | |
|
348 Collyer St Apt 108, Longmont, CO 80501-5558 | |
| (303) 667-1763 | |
| (855) 678-8887 |
| Full Name | Simone Moore |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 348 Collyer St Apt 108, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235947904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0008087 (Colorado) | Primary |
| Provider Name | Prestige Rehab LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750032553 PECOS PAC ID: 3375936495 Enrollment ID: O20240618002508 |
| Provider Name | Prestige Rehab Colorado |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972333961 PECOS PAC ID: 1759822265 Enrollment ID: O20240924004741 |
| Mailing Address | Practice Location Address |
|---|---|
| Simone Moore, OT 348 Collyer St Apt 108, Longmont, CO 80501-5558 Ph: (303) 667-1763 | Simone Moore, OT 348 Collyer St Apt 108, Longmont, CO 80501-5558 Ph: (303) 667-1763 |
Heather Noelle Vaughn, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7282 Mount Meeker Rd, Longmont, CO 80503 Phone: 970-222-4620 |
Mrs. Tanya Renee Mander, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-702-7882 |
Ty Cito, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200 |
Mrs. Lindsey Marie Blechle, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Korte Parkway, Longmont, CO 80501 Phone: 303-776-1373 |
Chelsea L Berthold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 395. South Pratt Pkway, Longmont, CO 80501 Phone: 303-776-6200 |
Lisa Starner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200 |
Elaine Barandiaran, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 504 Saint Andrews Dr, Longmont, CO 80504 Phone: 303-746-4897 |