Jessie Moliere, OTR/MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14694 Issued in FL

Practice address

13574 Village Park Dr Ste 205
Orlando, FL 32837-7694

Phone

(407) 789-7777

Fax

(321) 300-1054

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1487287702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377694",
            "telephone_number": "407-789-7777",
            "fax_number": "321-300-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13574 VILLAGE PARK DR STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377694",
            "telephone_number": "407-789-7777",
            "fax_number": "321-300-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIERE",
        "first_name": "JESSIE",
        "credential": "OTR/MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thelighthousetherapy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business correspondance",
            "address_1": "13574 Village Park Dr Ste 205",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328377694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael S Mokris, MD
• Amanda Kay Molder
• Molding Minds Behavioral Services LLC
• Maray Moldon, APRN
• Shereema Molette
• Hayley Molin
• Marilin Molina Alonso
• Andoni Molina Blanco
• Aylen Molina Corchado
• Dania Molina Garcia, MD

• Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.