Merri Marie Moffatt

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

16219 Sunset Way
Linden, MI 48451-9639

Phone

(810) 624-2513

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1205472859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16219 SUNSET WAY",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519639",
            "telephone_number": "810-624-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16219 SUNSET WAY",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519639",
            "telephone_number": "810-624-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "MERRI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT REHABILITATION",
            "identifier": "8106242513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J McKenney, RPH
• Catherine McMullen, LLMSW
• Korena Metcalfe
• Michael S. O'Hara, P.C. (Linden Physical Therapy)
• Lauren Mills
• Mother Strong Maternal Infant Health Program, LLC
• Emma Murton
• Naberhaus Therapy, Inc. (Building Bridges Therapy Center)
• Nest to Breast Doula LLC
• NFL Assisted Living, LLC (Young At Heart)

• Occupational Therapy Assistant in Linden, MI
• Providers in Linden, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.