Individual provider Active NPI

Charlotte Moats, OTR/L

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1457502320
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114997 Issued in TX
Practice address
1 Heartland Dr
San Antonio, TX 78247-1534
Phone
(484) 357-5717
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 114997 TX Primary

Addresses

Primary practice location

1 Heartland Dr
San Antonio, TX 78247-1534

Mailing address

501 FM 3009 Apt 13107
Schertz, TX 78154-3397
Phone (484) 357-5717

Other practice location 1

2600 Northampton St
Easton, PA 18045-2656
Phone (610) 250-0150 ext. 241

Other practice location 2

1 Heartland Dr
San Antonio, TX 78247-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003852 TX Practitioner - Occupational Therapist in Private Practice 2769981695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

4243 Thousand Oaks Dr
San Antonio, TX 78217-1801
Phone (830) 359-8194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114997TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jun 4, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jun 4, 2025 Accepting new patients

Locations

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 3

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1457502320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FM 3009 APT 13107",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543397",
            "telephone_number": "484-357-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEARTLAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471534",
            "telephone_number": "484-357-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180452656",
            "country_code": "US",
            "telephone_number": "610-250-0150 x241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Heartland Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782471534",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOATS",
        "first_name": "CHARLOTTE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.