Therapy Wonderland LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

THERAPY WONDERLAND LLC

Practice address

11628 SW 50TH CT
Cooper City, FL 33330-4414

Phone

(305) 335-3263

NPI assigned

Oct 30, 2020

Last updated

Aug 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica MouleNPI 1871669606

Title

Occupational Therapist

Phone

(305) 335-3263

Specialties & licenses 2

Addresses

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.

• Jessica M Moule, OTR-L

  • Occupational Therapist
  • Cooper City, FL
  • NPI 1871669606
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1154921989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 SW 50TH CT",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304414",
            "telephone_number": "305-335-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 SW 50TH CT",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304414",
            "telephone_number": "305-335-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WONDERLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MOULE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "305-335-3263"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.