TERRY ANN MOON (NPI# 1013110709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013110709 |
| Entity Type | Individual |
| Full Name | TERRY ANN MOON |
| Credential | OTR |
| Practice Address |
6601 220th St Sw Suite 1 Mountlake Terrace WA 98043-2166 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4257757274 |
| Practice Fax Number | 4257750963 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT00001899 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1013110709 | 05 | |
| WA | LNI | 139516 | 01 |
| WA | DEPT. OF LABOR AND INDUSTRIES | 0302899 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326119033 | Terry L Moon | Social Worker | 210 Wirt St Sw, Suite 303, Leesburg, VA 20175-2929 | 2006-11-13 |
| Street Address |
6601 220TH ST SW SUITE 1 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407932957 | Matt T Krings | Physical Therapist | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2006-10-27 |
| 1821523820 | Alexa R Hamik | Physical Therapist | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2017-04-27 |
| 1982059739 | Martina Karunia Wong | Dietitian, Registered | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2016-04-29 |
| 1972989291 | Kristen K Conner | Dietitian, Registered | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2015-08-10 |
| 1710369947 | Alayna Michelle Hamilton Newton | Physical Therapist | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2015-06-24 |
| 1639592744 | Carrie M. Ford | Physical Therapist | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2014-01-24 |
| 1154752822 | Nancy Oliver | Massage Therapist | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2013-12-06 |
| 1437454972 | Jordan Andersen Lander | Physical Therapist | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2011-01-13 |
| 1366746232 | Apple Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2011-01-06 |
| 1235430208 | Kristina Marie Malijan Quick | Physical Therapist | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1841694437 | Jeanette Wu | Occupational Therapist | 6912 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2174 | 2014-10-10 |
| 1255988093 | Erin Rebecca Eaton | Occupational Therapist | 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 | 2019-08-26 |
| 1760758635 | Rebecca Keil Spang | Occupational Therapist | 6912 220th St Sw Ste 213, Mountlake Terrace, WA 98043-2171 | 2012-03-26 |
| 1205137775 | Scott Hiroshi Hashimoto | Occupational Therapist | 6100 219th St Sw, Suite 400, Mountlake Terrace, WA 98043-2222 | 2010-11-15 |
| 1730489717 | Christine Ann Sicuro-fouty | Occupational Therapist | 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043-2166 | 2010-10-25 |
| 1841519543 | Kathryn Ann Gottlieb | Occupational Therapist | 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | 2010-05-20 |
| 1972747186 | Elizabeth Louise Brewer | Occupational Therapist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2009-05-01 |
| 1396997755 | Pamela Susan Tschumi | Occupational Therapist | 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 | 2008-10-16 |
| 1659574358 | Kirsty Ann Cain | Occupational Therapist | 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 | 2007-06-08 |
| Find all providers in MOUNTLAKE TERRACE | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.