NPIMap

Individual provider Active NPI

Kathleen Moody, MSOTR/L

  • Occupational Therapist
  • Columbia, MD
National Provider Identifier
1306184551
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06793 Issued in MD
Practice address
6080 Wild Ginger CT
Columbia, MD 21044-3680
Phone
(301) 741-6225
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15525 FL
Occupational Therapist 225X00000X 06793 MD Primary

Addresses

Primary practice location

6080 Wild Ginger CT
Columbia, MD 21044-3680

Mailing address

3620 Littledale Rd
Kensington, MD 20895-3424

Other practice location 1

13225 Glenhill Rd
Silver Spring, MD 20904-3260
Phone (301) 741-6225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5877AZMDPhysical Therapist
15525FLMDOccupational Therapist
06793MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1306184551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LITTLEDALE RD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 WILD GINGER CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443680",
            "telephone_number": "301-741-6225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13225 Glenhill Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209043260",
            "country_code": "US",
            "telephone_number": "301-741-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15525",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.