Kelsie Jane Moosmann, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015521 Issued in IL

Practice address

95 Carleton Ave
Glen Ellyn, IL 60137-5500

Phone

(630) 469-5555

NPI assigned

Jul 10, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1225716285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 MIDDLEBURY AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177722",
            "telephone_number": "630-559-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CARLETON AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375500",
            "telephone_number": "630-469-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Belmont Ln",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882467",
            "country_code": "US",
            "telephone_number": "630-665-1848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 E Fabyan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605101323",
            "country_code": "US",
            "telephone_number": "630-879-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOSMANN",
        "first_name": "KELSIE",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Molina
• Katharine Moon Raess
• Moon Wellness LLC
• Derek Raymond Moore, CADC
• Terence Moore
• Jacqueline Moran, MD
• Julie M Moreschi, MS RDN LDN
• David Morris, MD
• Jeffrey E. Morris, FNP-C
• Benjamin James Morrissey

• Occupational Therapist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.