Moonbeam Therapies PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MOONBEAM THERAPIES PLLC

Practice address

6609 Springfield Village LN
Clemmons, NC 27012-8996

Phone

(336) 865-2002

Fax

(336) 828-0124

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Irvin Cranford, MS, OTR/L

Title

Owner/Founder

Phone

(334) 865-2002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynn Irvin-Spears, OTR/L, BCP

  • Occupational Therapist
  • Clemmons, NC
  • NPI 1740859362
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1194596254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120310",
            "telephone_number": "336-971-4734",
            "fax_number": "336-828-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 SPRINGFIELD VILLAGE LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128996",
            "telephone_number": "336-865-2002",
            "fax_number": "336-828-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONBEAM THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "CRANFORD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "334-865-2002",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pappas Minton
• Lauren Elizabeth Mitchell
• MMS Winston-Salem, Inc.
• Julia Shaw Mohrmann, BCBA
• Matthew Monaghan, DC
• Allison Skillman Moore, PT, MHA, MBA
• Mornad Health PLLC
• Kathryn Dudley Morris, LCSW
• Melissa J Morrissette-Hurst, LCSWA
• Abigail Mosqueda, RBT

• Occupational Therapist in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.