Organization Active NPI

Moon Pediatric Therapy & Consulting

  • Occupational Therapist
  • Grapevine, TX
National Provider Identifier
1093632820
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOON PEDIATRIC THERAPY & CONSULTING
Practice address
2841 Oak Forest Dr
Grapevine, TX 76051-6018
Phone
(817) 307-0795
NPI assigned
Jul 2, 2026
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Meredith Michelle Moon, OTR/LNPI 1124805999
Title
Occupational Therapist/ Owner
Phone
(817) 307-0795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2841 Oak Forest Dr
Grapevine, TX 76051-6018

Mailing address

2841 Oak Forest Dr
Grapevine, TX 76051-6018
Phone (817) 307-0795

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1093632820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 OAK FOREST DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516018",
            "telephone_number": "817-307-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 OAK FOREST DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516018",
            "telephone_number": "817-307-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PEDIATRIC THERAPY & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "817-307-0795",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.