Individual provider Active NPI

Angela R. Moisant, OTA

  • Occupational Therapy Assistant
  • Norman, OK
National Provider Identifier
1346817038
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2294 Issued in OK
Practice address
1201 W Boyd St
Norman, OK 73069-4801
Phone
(405) 366-7898
Fax
(405) 366-0010
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2294 OK Primary

Addresses

Primary practice location

1201 W Boyd St
Norman, OK 73069-4801

Mailing address

1201 W Boyd St
Norman, OK 73069-4801
Phone (405) 366-7898

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therafun LLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

1201 W Boyd St
Norman, OK 73069
Phone (405) 366-7898

Organizations & group practices 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1346817038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W BOYD ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694801",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W BOYD ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694801",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISANT",
        "first_name": "ANGELA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.