Active NPI
Danette Moran
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1023624061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 132867
- Practice address
- 10503 Vista Hills Blvd
Louisville, KY 40291-4940 - Phone
- (502) 551-0622
- NPI assigned
- Sep 16, 2020
- 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 | 132867 | KY | Primary |
Addresses
Primary practice location
10503 Vista Hills Blvd
Louisville, KY 40291-4940
Mailing address
10503 Vista Hills Blvd
Louisville, KY 40291-4940
Phone (502) 551-0622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy on Wheels, Inc. | Current | Accepting new patients |
Locations
212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1023624061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 VISTA HILLS BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914940",
"telephone_number": "502-551-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10503 VISTA HILLS BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914940",
"telephone_number": "502-551-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "DANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "132867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.