P Praxis·MD
● Active Type 1 · Individual

Daphne Moore

Occupational Therapy Assistant·Valdosta, GA· NPI 1104380906 · Enumerated 2019 · 7 years on NPI
Moore is 1 of 6 occupational therapy assistant providers in Valdosta and 1 of 565 in Georgia.
NPI age
7 years
Enumerated 2019-01-25
Primary specialty
Occupational Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 565 active occupational therapy assistant providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
1207 Timber Line Dr
Valdosta, GA 316023732
📞 2295600172
Mailing address
1207 Timber Line Dr
Valdosta, GA 316023732
📞 2295600172

Specialties

  • Occupational Therapy Assistant Primary
    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
    GA license #OTA002351 taxonomy 224Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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