Joy Susanne Moody, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

AT-443 Issued in AR

Practice address

1717 Industrial Dr
Fordyce, AR 71742-7104

Phone

(870) 352-7975

Fax

(870) 352-8806

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Step, Inc.

  dba Park Place 1 Group Home, Park Place 2 Group Home

  • Developmentally Disabled Services Day Training Agency
  • Hot Springs, AR
  • NPI 1922157403
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124177217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 102",
            "city": "THORNTON",
            "state": "AR",
            "postal_code": "717669707",
            "telephone_number": "870-352-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 INDUSTRIAL DR",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717427104",
            "telephone_number": "870-352-7975",
            "fax_number": "870-352-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JOY",
        "middle_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "AT-443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D McIntire, M.S., L.P.C.
• Melinda McKay, LAC
• Cory Andrew McMahon, APRN
• Michael D Payne MD PLLC PA
• Youlonda Nix Miller, MHPP
• Dan Moore, M.S., L.A.C.
• Patrick Paul Moseley Jr., D.D.S.
• Brianna N Nix
• Janice Nolen, RN
• Samara Nolen, MHPP

• Occupational Therapy Assistant in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.