Organization Active NPI

Over the Moon Therapy, LLC

  • Pediatric Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1609431360
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
OVER THE MOON THERAPY, LLC
Practice address
1215 E 14TH St
Tucson, AZ 85719-6406
Phone
(520) 271-6771
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Ms. Emily Kate Dawson Areinoff, OTR/LNPI 1578712279
Title
Owner
Phone
(520) 271-6771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1215 E 14TH St
Tucson, AZ 85719-6406

Mailing address

1215 E 14TH St
Tucson, AZ 85719-6406
Phone (520) 271-6771

Other identifiers 1

IdentifierTypeStateIssuer
397656MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1609431360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E 14TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857196406",
            "telephone_number": "520-271-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E 14TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857196406",
            "telephone_number": "520-271-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVER THE MOON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "AREINOFF",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KATE DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-271-6771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397656",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.