Katherine J Moody, OTR

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

0072.0128455 Issued in VT

Practice address

110 Fairfax Rd
Saint Albans, VT 05478-6299

Phone

(802) 752-1600

NPI assigned

Aug 28, 2020

Last updated

Nov 27, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: katherine.moody@rehabcare.com

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215540117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRAFTSFIELD RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054545534",
            "telephone_number": "231-564-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FAIRFAX RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786299",
            "telephone_number": "802-752-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "VT",
            "license": "0072.0128455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katherine.moody@rehabcare.com",
            "affiliation": "Y",
            "affiliationName": "rehabcare",
            "address_1": "746 west spring street",
            "city": "south elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mountain Medical LLC
• Beth L Mouser, LCMHC

• Gerontology Occupational Therapist in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Gerontology Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.