Terry Ann Moon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00001899 Issued in WA

Practice address

6601 220TH St SW
Suite 1
Mountlake Terrace, WA 98043-2166

Phone

(425) 775-7274

Fax

(425) 775-0963

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Workable Solution, PS

  • Rehabilitation Clinic/Center
  • Mountlake Terrace, WA
  • NPI 1568592129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1013110709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 220TH ST SW",
            "address_2": "SUITE 1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432166",
            "telephone_number": "425-775-7274",
            "fax_number": "425-775-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "139516",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013110709",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0302899",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Therapy Group PC
• Chad Ryan Moeller, ATC, AT/L
• Ayan Mohamed, LSWAIC
• Wendy Mondoux
• Jonathan Montoya
• Moonrise Wellness & Birth Center
• George Bruce Moore, DDS
• Lily Esther Moreno, LMHCA
• Jaclyn Michelle Morgan
• Shelbey Rose Morgan

• Occupational Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.