Active NPI
Eric Michael Momoh, COTA/L
- Occupational Therapy Assistant
- Ocoee, FL
National Provider Identifier
1124612460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18143
- Practice address
- 1091 Kelton Ave
Ocoee, FL 34761-3162 - Phone
- (407) 523-0300
- NPI assigned
- Feb 26, 2021
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | 18143 | FL | Primary |
Addresses
Primary practice location
1091 Kelton Ave
Ocoee, FL 34761-3162
Mailing address
8041 New River Dr Apt 14303
Orlando, FL 32821-5469
Phone (386) 631-8249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18143 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1124612460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8041 NEW RIVER DR APT 14303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328215469",
"telephone_number": "386-631-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 KELTON AVE",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613162",
"telephone_number": "407-523-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMOH",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "18143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.