NPI age
2 years
Enumerated 2023-09-11
● Active
Type 1 · Individual
McKenzie J Moon
Moon is 1 of 18 occupational therapy assistant providers in Idaho Falls and 1 of 160 in Idaho.
Primary specialty
Occupational Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 160 active occupational therapy assistant providers in Idaho.
NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Practice location
1460 Elk Creek Dr
Idaho Falls, ID 834048237
Mailing address
1460 Elk Creek Dr
Idaho Falls, ID 834048237
Specialties
-
Occupational Therapy Assistant PrimaryAn 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...
Practice context
Part of a multi-provider practice. 73 other active providers share this practice address in NPPES.
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