Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cory Ryan Moore

Individual provider Occupational Therapy Assistant · NPI 1952802167

Mr. Cory Ryan Moore is an Occupational Therapy Assistant in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2018

Practice location Address checks out

13501 N Bryant Ave
Edmond, OK 73013-6242
Phone: (405) 246-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 864 (OK)

Record details

NPI number1952802167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018

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