Saint Claire Jacqueline Mottley, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT21166 Issued in FL

Practice address

4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309-2240

Phone

(850) 942-2000

Fax

(850) 942-2003

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1265045561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-942-2000",
            "fax_number": "850-942-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-942-2000",
            "fax_number": "850-942-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Lafayette St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324463236",
            "country_code": "US",
            "telephone_number": "850-942-2000 x2",
            "fax_number": "850-942-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTLEY",
        "first_name": "SAINT CLAIRE",
        "middle_name": "JACQUELINE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT21166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan F Mosley II, PHARM.D., RPH.
• Lourdes A Mosley, PA
• Vashawn Renee Mosley, FNPC
• Faith Mostella-Morgan, LCSW
• Manoela Mota, M.D.
• Alan Moudy
• Beverly Mount, M.S.
• Bobbi Nicole Mount, M.S.W.
• Fiji Ann Moyer, PT, DPT
• Pamela Moyer, LMT

• Pediatric Occupational Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.