Individual provider Active NPI

Kayla Grace Moon, OTR/L

  • Occupational Therapist
  • Burlington, NC
National Provider Identifier
1295426658
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15869 Issued in NC
Practice address
422 Huffman Mill Rd Ste 121
Burlington, NC 27215-5194
Phone
(530) 433-6270
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15869 NC Primary

Addresses

Primary practice location

422 Huffman Mill Rd Ste 121
Burlington, NC 27215-5194

Mailing address

12319 Waterstone LN Apt 416
Perrysburg, OH 43551-3049
Phone (513) 571-1896

Other practice location 1

501 W Williams St Unit 346
Apex, NC 27502-1998
Phone (919) 448-6018

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

LicenseStateTypeSpecialty
15869NCMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Kids, LLC Occupational Therapist Past Accepting new patients
All About Therapy, PLLC Occupational Therapist PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1295426658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 WATERSTONE LN APT 416",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513049",
            "telephone_number": "513-571-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HUFFMAN MILL RD STE 121",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155194",
            "telephone_number": "530-433-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Williams St Unit 346",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275021998",
            "country_code": "US",
            "telephone_number": "919-448-6018",
            "fax_number": "855-264-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "KAYLA",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.