Active NPI
Laurie Moody, O.T.
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1568633238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4105
- Practice address
- 5909 N 72ND Ave
Glendale, AZ 85303-4705 - Phone
- (623) 293-6808
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4105 | AZ | Primary |
Addresses
Primary practice location
5909 N 72ND Ave
Glendale, AZ 85303-4705
Mailing address
5909 N 72ND Ave
Glendale, AZ 85303-4705
Phone (623) 293-6808
Other names 1
- Laurie Ferreira
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5255 Kietzke LN
Reno, NV 89511-2037
Phone (512) 327-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4105 | AZ | MD | Occupational Therapist |
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": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1568633238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 N 72ND AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853034705",
"telephone_number": "623-293-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 N 72ND AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853034705",
"telephone_number": "623-293-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "LAURIE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "FERREIRA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.