Jennifer Prugh Moffitt, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14503 Issued in FL

Practice address

1600 NE 5TH Ave
Pompano Beach, FL 33060-5727

Phone

(561) 596-9328

NPI assigned

Oct 1, 2012

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

Other names 1

• Ms. Jennifer Barbara Prugh Former name

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1275884124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9843 LAGO DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722771",
            "telephone_number": "561-596-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605727",
            "telephone_number": "561-596-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "JENNIFER",
        "middle_name": "PRUGH",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "14503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRUGH",
            "middle_name": "BARBARA",
            "prefix": "MS.",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mobile Medical Care of the Palm Beaches PA
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• Lloyd N Moffatt Jr.
• Ariel Lindsey Moffeit
• Maria Mogollon
• Amani Mohamed
• Annmarie Mohan, PHARMD
• Eric Earl Mohr, D.M.D.
• Cassandra Nadine Moise, FNP

• Occupational Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.