MOSS OCCUPATIONAL THERAPY SERVICE LLC (NPI# 1932626884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932626884 |
| Entity Type | Organization |
| Organization Name | MOSS OCCUPATIONAL THERAPY SERVICE LLC |
| Practice Address |
2508 Brookgate Way Ellenwood GA 30294-2390 |
| Practice Telephone | (404) 957-5015 |
| Mailing Telephone | 4049575015 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | MS. TRACY LYNN WALKER (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 4049575015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
OT005980 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OT005980 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2508 BROOKGATE WAY |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-2390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312984 | Tracy Walker | Occupational Therapist | 2508 Brookgate Way, Ellenwood, GA 30294-2390 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| 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 |
|---|---|---|---|---|
| 1831663665 | Angela Harris | Occupational Therapist | 226 Fairview Rd, Ellenwood, GA 30294-2704 | 2019-01-15 |
| 1508312984 | Tracy Walker | Occupational Therapist | 2508 Brookgate Way, Ellenwood, GA 30294-2390 | 2016-08-26 |
| 1548886526 | Joi Moses | Occupational Therapist | 226 Fairview Rd, Ellenwood, GA 30294-2704 | 2020-06-25 |
| 1699264267 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780 | 2018-05-09 |
| 1285177204 | Denise Boone | Occupational Therapist | 3056 Anvil Block Rd, Suite 118, Ellenwood, GA 30294-2662 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1811595820 | Karen Hefter | Occupational Therapist | 105 Shirewood Park, Peachtree City, GA 30269-1160 | 2020-10-12 |
| 1700493350 | Kristina Rae Molina-croes | Occupational Therapist | 5822 Barkley Ln, Hahira, GA 31632-3025 | 2020-09-28 |
| 1497362107 | Robin T Underwood | Occupational Therapist | 2335 Briarleigh Way, Dunwoody, GA 30338-7005 | 2020-09-26 |
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.