Active NPI
Kristina Catherine Moustakis, MS/OTR/L
- Occupational Therapist
- Amherst, NH
National Provider Identifier
1104249358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2348
- Practice address
- 462 Boston Post Rd
Amherst, NH 03031-2233 - Phone
- (978) 854-2058
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2348 | NH | Primary |
| Occupational Therapist | 225X00000X | 10389 | MA |
Addresses
Primary practice location
462 Boston Post Rd
Amherst, NH 03031-2233
Mailing address
462 Boston Post Rd
Amherst, NH 03031-2233
Phone (978) 854-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2348 | NH | MD | Mental Health Counselor |
| 10389 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1104249358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 BOSTON POST RD",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312233",
"telephone_number": "978-854-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 BOSTON POST RD",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312233",
"telephone_number": "978-854-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTAKIS",
"first_name": "KRISTINA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "MS/OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "2348",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.