MEDICARE: ABBY MOON OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1164073516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY MOON OTR/L

Provider Business Mailing Address
First Line	:	516 OCONEE LN
Second Line	:
City	:	COMMERCE
State	:	GA
Zip	:	30529-4182
Country	:	US
Telephone Number	:	706-491-5409
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 COOK ST
Second Line	:
City	:	ROYSTON
State	:	GA
Zip	:	30662-3933
Country	:	US
Telephone Number	:	706-491-5409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	09/26/2019

Similar Medicare Providers

1871556381 — DCA OF ROYSTON LLC
Practice Location Address:

611 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-245-0817
Practice Fax: 706-245-6450

1780854273 — MRS. SUSAN G CHILDERS CCC-SLP
Practice Location Address:

613 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-245-1822
Practice Fax:

1033444989 — PATRICIA K. ADKINS PSYCHOLOGICAL SERVICES, INC.
Practice Location Address:

613 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-498-3086
Practice Fax: 706-245-1854

1750679064 — PROSTHETIC CARE OF ANDERSON, LLC
Practice Location Address:

615 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-245-6212
Practice Fax: 706-245-6262

1619249117 — MRS. AMANDA SKILLING CRANE SLP
Practice Location Address:

613 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-245-1822
Practice Fax: 706-245-1854

1720336621 — MADISON JOHNSON M.ED.,CCC-SLP
Practice Location Address:

613 COOK ST
ROYSTON, GA
30662-3933

Practice Phone: 706-491-5409
Practice Fax:

Directions to “ ABBY MOON OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.