Active NPI
Penni Marie Moist, OTRL
- Occupational Therapist
- Nazareth, PA
National Provider Identifier
1629196068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009570
- Practice address
- Gracedale Ave.
Nazareth, PA 18064 - Phone
- (610) 746-1906
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OC009570 | PA | Primary |
Addresses
Primary practice location
Gracedale Ave.
Nazareth, PA 18064
Mailing address
2013 Columbia Ave
Whitehall, PA 18052-4809
Phone (610) 443-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009570 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629196068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 COLUMBIA AVE",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180524809",
"telephone_number": "610-443-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRACEDALE AVE.",
"city": "NAZARETH",
"state": "PA",
"postal_code": "18064",
"telephone_number": "610-746-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOIST",
"first_name": "PENNI",
"middle_name": "MARIE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
- Mental Health Counseling of Nazareth
- Merchant Chiropractic LLC
- Barry Merchant, DC
- Donald M Miller, DDS
- Douglas Mitchell, LMT
- Morningstar Senior Living Inc (Moravian Hall Square Health and Wellness Center)
- Barbara Morrison, LPC
- Valerie Grace Morton, MSW, LSW
- Tara L Nagy, ATC, LAT
- Nazareth Area Family Medicine Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.