Active NPI
Erica Nicole Mouser, MOT/L
- Occupational Therapist
- Fairmont, WV
National Provider Identifier
1699081265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1491
- Practice address
- 1712 Locust Ave
Fairmont, WV 26554-1321 - Phone
- (681) 404-6900
- NPI assigned
- Aug 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1491 | WV | |
| Occupational Therapist | 225X00000X | 1491 | WV | Primary |
Addresses
Primary practice location
1712 Locust Ave
Fairmont, WV 26554-1321
Mailing address
29 Sunbird CT
Rivesville, WV 26588-9300
Phone (304) 614-2226
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 |
|---|---|---|---|
| 1491 | WV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1699081265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SUNBIRD CT",
"city": "RIVESVILLE",
"state": "WV",
"postal_code": "265889300",
"telephone_number": "304-614-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541321",
"telephone_number": "681-404-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSER",
"first_name": "ERICA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MOT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WV",
"license": "1491",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.