Individual provider Active NPI

Brittany E Moya, OT

  • Occupational Therapist
  • Goodyear, AZ
National Provider Identifier
1669854345
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5548 Issued in AZ
Practice address
790 N Estrella Pkwy Ste C
Goodyear, AZ 85338-9290
Phone
(602) 765-4348
Fax
(623) 233-6567
NPI assigned
Jun 18, 2015
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5548 AZ Primary

Addresses

Primary practice location

790 N Estrella Pkwy Ste C
Goodyear, AZ 85338-9290

Mailing address

300 W Clarendon Ave
Phoenix, AZ 85013-3420
Phone (602) 279-6905

Other practice location 1

5757 W Thunderbird Rd Ste E465
Glendale, AZ 85306-4650
Phone (602) 843-9945

Other practice location 2

3200 E Camelback Rd
Suite 135
Phoenix, AZ 85018-2311
Phone (602) 279-6905

Other names 1

  • Brittany Busse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729006991 AZ Practitioner - Occupational Therapist in Private Practice 4981918430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5757 W Thunderbird Rd
Suite E465
Glendale, AZ 85306-4650
Phone (602) 843-9945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jun 18, 2015 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jun 18, 2015 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Past Accepting new patients
DHT Hand Therapy Limited Partnership Past Accepting new patients

Locations

2195 W Chandler Blvd
Ste 180
Chandler, AZ 85224
Phone (480) 963-9339

1489 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 750-1974

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

790 N Estrella Pkwy
Ste C
Goodyear, AZ 85338
Phone (602) 765-4348

5030 W Baseline Rd
Ste A135
Laveen, AZ 85339
Phone (602) 264-6068

7165 E University Dr
Ste 143
Mesa, AZ 85207
Phone (480) 218-9973

15830 N 35th Ave
Ste 2
Phoenix, AZ 85053
Phone (602) 507-6989

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

20330 N Cave Creek Rd
Ste A150
Phoenix, AZ 85024
Phone (602) 765-4338

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

3104 E Indian School Rd
Ste 200A
Phoenix, AZ 85016
Phone (602) 955-2302

3200 E Camelback Rd
Ste 135
Phoenix, AZ 85018
Phone (602) 954-8473

690 N Cofco Center Ct
Ste 260
Phoenix, AZ 85008
Phone (602) 279-6905

10250 N 92nd St
Ste 112
Scottsdale, AZ 85258
Phone (480) 661-7779

14239 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 544-1631

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1669854345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133420",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N ESTRELLA PKWY STE C",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389290",
            "telephone_number": "602-765-4348",
            "fax_number": "623-233-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5757 W Thunderbird Rd Ste E465",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064650",
            "country_code": "US",
            "telephone_number": "602-843-9945",
            "fax_number": "602-843-8775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 E Camelback Rd",
            "address_2": "Suite 135",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850182311",
            "country_code": "US",
            "telephone_number": "602-279-6905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYA",
        "first_name": "BRITTANY",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BUSSE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.

Verify at the official NPI Registry.