Active NPI
Kristyna Emily Moses, COTA
- Occupational Therapy Assistant
- The Woodlands, TX
National Provider Identifier
1184336737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 217213
- Practice address
- 6767 Lake Woodlands Dr # F
The Woodlands, TX 77382-2566 - Phone
- (281) 364-1122
- NPI assigned
- Dec 14, 2022
- Last updated
- Dec 14, 2022
- Sex
- Female
- 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 | 217213 | TX | Primary |
Addresses
Primary practice location
6767 Lake Woodlands Dr # F
The Woodlands, TX 77382-2566
Mailing address
8122 Legacy Creek Dr
Tomball, TX 77375-1199
Phone (713) 870-6104
Other practice location 1
750 Fish Creek Thoroughfare
Montgomery, TX 77316-6965
Phone (936) 272-0790
Other practice location 2
20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3587
Phone (832) 698-0111
Other names 1
- Kristyna Emily Shaffer
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 |
|---|---|---|---|
| 217213 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1184336737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 LEGACY CREEK DR",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773751199",
"telephone_number": "713-870-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 LAKE WOODLANDS DR # F",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773822566",
"telephone_number": "281-364-1122"
}
],
"practiceLocations": [
{
"address_1": "750 Fish Creek Thoroughfare",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "TX",
"postal_code": "773166965",
"country_code": "US",
"telephone_number": "936-272-0790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20639 Kuykendahl Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773793587",
"country_code": "US",
"telephone_number": "832-698-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSES",
"first_name": "KRISTYNA",
"middle_name": "EMILY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "217213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTYNA",
"last_name": "SHAFFER",
"middle_name": "EMILY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.