Active NPI
Michael Anthony Moyer, MS, OTR/L, CSRS
- Occupational Therapist
- Wyomissing, PA
National Provider Identifier
1306358700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC013291
- Practice address
- 2802 Papermill Rd
Wyomissing, PA 19610-1065 - Phone
- (484) 628-2797
- NPI assigned
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08303 | MD | |
| Occupational Therapist | 225X00000X | OC013291 | PA | Primary |
Addresses
Primary practice location
2802 Papermill Rd
Wyomissing, PA 19610-1065
Mailing address
522 Rosemont CT
Wyomissing, PA 19610-4004
Phone (610) 406-7740
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC013291 | PA | MD | Occupational Therapist |
| 08303 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1306358700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 ROSEMONT CT",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196104004",
"telephone_number": "610-406-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2802 PAPERMILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101065",
"telephone_number": "484-628-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "MS, OTR/L, CSRS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08303",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC013291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.