Jenny Moss Occupational Therapy Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

JENNY MOSS OCCUPATIONAL THERAPY SERVICES, INC.

Practice address

7207 Grassy Rd
Carbondale, IL 62902-0465

Phone

(618) 580-9464

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Jenny Moss

Title

Occupational Therapist/Owner

Phone

(618) 580-9464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1013288968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GRASSY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629020465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GRASSY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629020465",
            "telephone_number": "618-580-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY MOSS OCCUPATIONAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "618-580-9464"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elaine Jacobson
• Ahmed H Jafri, M.D.
• Michael James, FNP-BC
• Rachel Ann Jarvis, MA
• Angela M Jenkins
• Nichole Jeters, LCPC
• Basmah Naser Jilani, MD
• John Reimbold
• Cindy P Johnson, LCPC
• Dominic Dwayne Johnson

• Early Intervention Provider Agency in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.