Organization Active NPI

Moment Occupational Therapy Inc

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1275285207
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOMENT OCCUPATIONAL THERAPY INC
Practice address
10317 Ridgewater LN
San Diego, CA 92131-1346
Phone
(619) 863-6897
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Kristine Mary Myers, OTR/LNPI 1699165688
Title
Director
Phone
(619) 863-6897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

10317 Ridgewater LN
San Diego, CA 92131-1346

Mailing address

10317 Ridgewater LN
San Diego, CA 92131-1346
Phone (619) 863-6897

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1275285207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 RIDGEWATER LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311346",
            "telephone_number": "619-863-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 RIDGEWATER LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311346",
            "telephone_number": "619-863-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENT OCCUPATIONAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-863-6897",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.