MRS. KELLY KING MOORE (MS, OTR/L) – Occupational Therapist, NPI 1619080272

Occupational Therapist

MRS. KELLY KING MOORE (MS, OTR/L) is a healthcare provider. based in Richmond, Kentucky. specializing in Occupational Therapist. They hold the professional credentials MS, OTR/L. They hold a License No. R3638 (KY). The NPI Number for MRS. KELLY KING MOORE (MS, OTR/L) is 1619080272

Main info

Female

20 Years Of Experience

Accepts Medicare Assignment

Name

MRS. KELLY KING MOORE (MS, OTR/L)

NPI

1619080272

Phone

(859) 625-0564

Address

212 Wayne Dr

Enumeration Date

17 August 2006

Last Update Date

3 March 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5023396490

Graduation Year

2006 (20 years ago)

PAC ID

4183623689

Group Practice PAC ID

1254671464

Professional Enrollment ID

I20061211000479

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLY KING MOORE (MS, OTR/L)

212 Wayne Dr
Richmond, KY 404752337
Phone: (859) 625-0564
Fax: (859) 625-1109
Type: Location
330 WALLER AVE STE 275
LEXINGTON, KY 405042930
Phone: (859) 447-8600
Fax: (859) 447-8599
Type: Location
212, Wayne Drive, Richmond, Madison County, Kentucky, 40475, United States
RICHMOND, KY 404752337
Phone: (859) 625-0564
Fax: (859) 625-1109
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40475)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1254671464View full group profile

Name	Specialty	State
CRAIG L SATTERLEY (PT)	-	KY
SANJIV MEHTA (MD)	Orthopedic Surgery	KY
ZACHARY KEATON WEBER (PT, DPT)	-	TX
BETTY J LAY (OTR/L)	Occupational Therapist In Private Practice	KY
DR. ROBIN GAULT CURRY (M.D.)	Sports Medicine	IL
BRADEN HURST (DPT)	-	KY
RUTH ELLEN RITCHART (PT)	Physical Therapist In Private Practice	MN
MACY HOLDSWORTH	Physical Therapist In Private Practice	IN
DR. CAMILLA RAE KOERBER (DPT)	Physical Therapist In Private Practice	IL
DR. ADAM WILLIAM KLINGEMAN (DPT)	Physical Therapist In Private Practice	KY

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Frequently asked questions

Is MRS. KELLY KING MOORE (MS, OTR/L) listed with a National Provider Identifier?

Yes — MRS. KELLY KING MOORE (MS, OTR/L) has NPI 1619080272 on file in the registry.

Is MRS. KELLY KING MOORE (MS, OTR/L) shown as active in public data?

Registry records indicate MRS. KELLY KING MOORE (MS, OTR/L) maintains an active NPI.

How would a patient describe MRS. KELLY KING MOORE (MS, OTR/L)'s focus?

For MRS. KELLY KING MOORE (MS, OTR/L), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.

What locale is associated with MRS. KELLY KING MOORE (MS, OTR/L)?

Directory geography for MRS. KELLY KING MOORE (MS, OTR/L) centers on Richmond, Kentucky.

When was this NPI issued?

Enumeration for MRS. KELLY KING MOORE (MS, OTR/L) is noted as August 17, 2006 where the registry provides it.