Active NPI
Maureen Moseley, O.T.
- Occupational Therapist
- Southfield, MI
National Provider Identifier
1669783254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201005460
- Practice address
- 17330 Northland Park CT
Suite 201
Southfield, MI 48075-4318 - Phone
- (248) 809-2853
- Fax
- (248) 809-9921
- NPI assigned
- Jun 29, 2010
- 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 | 5201005460 | MI | Primary |
Addresses
Primary practice location
17330 Northland Park CT
Suite 201
Southfield, MI 48075-4318
Mailing address
17330 Northland Park CT
Suite 201
Southfield, MI 48075-4318
Phone (248) 809-2853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-2331509 | Other | MI | TAX ID # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201005460 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1669783254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 NORTHLAND PARK CT",
"address_2": "SUITE 201",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754318",
"telephone_number": "248-809-2853",
"fax_number": "248-809-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 NORTHLAND PARK CT",
"address_2": "SUITE 201",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754318",
"telephone_number": "248-809-2853",
"fax_number": "248-809-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "MAUREEN",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201005460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "26-2331509",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.