Active NPI
Erica Rose Moldenhauer
- Occupational Therapist
- Encinitas, CA
National Provider Identifier
1265054233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 261OR0400X
- Practice address
- 1630 Crest Dr
Encinitas, CA 92024-5211 - Phone
- (760) 803-8344
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 261OR0400X | CA | Primary |
Addresses
Primary practice location
1630 Crest Dr
Encinitas, CA 92024-5211
Mailing address
1630 Crest Dr
Encinitas, CA 92024-5211
Phone (760) 803-8344
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://nextstepspediatrictherapy.com/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261OR0400X | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Occupational Therapy, P.C. | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Oceanside, CA
- NPI 1396603833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1265054233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 CREST DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245211",
"telephone_number": "760-803-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 CREST DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245211",
"telephone_number": "760-803-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDENHAUER",
"first_name": "ERICA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "261OR0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://nextstepspediatrictherapy.com/",
"affiliation": "N",
"endpointDescription": "Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "1630 Crest Dr",
"city": "Encinitas",
"state": "CA",
"country_code": "US",
"postal_code": "920245211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.