Active NPI
Erin E Moreno, OT
- Occupational Therapist
- Kennesaw, GA
National Provider Identifier
1003223017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007618
- Practice address
- 4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309 - Phone
- (724) 816-1800
- Fax
- (865) 951-7273
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007618 | GA | Primary |
Addresses
Primary practice location
4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309
Mailing address
3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 713-0560
Other names 1
- Erin Regan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
68 Breezy Valley Connector
Hiram, GA 30141-3054
Phone (828) 713-0560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servant Rehabilitation, Inc. | Occupational Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Past | Accepting new patients |
Locations
68 Breezy Valley Connector
Hiram, GA 30141
Phone (678) 973-1906
4381 Bells Ferry Rd NW
Kennesaw, GA 30144
Phone (724) 816-1800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Hendersonville, NC
- NPI 1851911713
GA, Occupational Therapist
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1003223017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 HERITAGE CIR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913553",
"telephone_number": "828-713-0560",
"fax_number": "865-951-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 BELLS FERRY RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441309",
"telephone_number": "724-816-1800",
"fax_number": "865-951-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "ERIN",
"middle_name": "E",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "REGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.