Active NPI
Anh Phuong Moriarty, COTA/L
- Occupational Therapy Assistant
- Culver City, CA
National Provider Identifier
1639848138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5188
- Practice address
- 5901 Green Valley Cir Ste 130
Culver City, CA 90230-6900 - Phone
- (818) 788-1003
- NPI assigned
- Sep 8, 2021
- 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 Therapy Assistant | 224Z00000X | 5188 | CA | Primary |
Addresses
Primary practice location
5901 Green Valley Cir Ste 130
Culver City, CA 90230-6900
Mailing address
333 S Beaudry Ave FL 17
Los Angeles, CA 90017-5105
Phone (213) 241-6200
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 |
|---|---|---|---|
| 5188 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1639848138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE FL 17",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175105",
"telephone_number": "213-241-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 GREEN VALLEY CIR STE 130",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306900",
"telephone_number": "818-788-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "ANH",
"middle_name": "PHUONG",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "5188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.