Melissa Moss, COTA/L, MSOT/S

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3250 Issued in CA

Practice address

4987 Golden Foothill Pkwy Ste 100
El Dorado Hills, CA 95762-9364

Phone

(916) 365-2411

NPI assigned

Jan 26, 2023

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

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1407562036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAVENDER CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773547",
            "telephone_number": "920-216-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 GOLDEN FOOTHILL PKWY STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629364",
            "telephone_number": "916-365-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MELISSA",
        "credential": "COTA/L, MSOT/S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Moore, L.AC
• Jessica Morales Betancourt
• Ronica-Rashea Sherol Morris
• Roxene S Morrison
• Ashley Moser
• Danna Mota Ruiz
• Susanne Motley, MFT
• Kelsea Moul
• Mountain View Speech Therapy Corporation
• Jordan Mullins

• Occupational Therapy Assistant in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.