Moriah Grace Andino – Occupational Therapist

Key facts

NPI: 1124774237
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
Practice address: 4107 Talmaga LN
Greensboro, NC 27410-9414
Phone: (336) 580-1815
NPI assigned: Feb 28, 2022
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X			Yes

Addresses

Primary practice location

4107 Talmaga LN
Greensboro, NC 27410-9414

Mailing address

4107 Talmaga LN
Greensboro, NC 27410-9414
Phone (336) 580-1815

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	mandino121@rams.wssu.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2022.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1124774237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 TALMAGA LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109414",
            "telephone_number": "336-580-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 TALMAGA LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109414",
            "telephone_number": "336-580-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO",
        "first_name": "MORIAH",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandino121@rams.wssu.edu",
            "affiliation": "N",
            "address_1": "4107 Talmaga Ln",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274109414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

All providers in Greensboro, NC · Occupational Therapist in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.