Active NPI
Hannah Palisoc Mooi, OTR
- Occupational Therapist
- Peoria, AZ
National Provider Identifier
1730212978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-006730
- Practice address
- 9385 W Donald Dr Ste 116-326
Peoria, AZ 85383-2988 - Phone
- (602) 875-5616
- Fax
- (623) 227-2030
- NPI assigned
- Mar 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056005600 | IL | |
| Occupational Therapist | 225X00000X | OTH-006730 | AZ | Primary |
Addresses
Primary practice location
9385 W Donald Dr Ste 116-326
Peoria, AZ 85383-2988
Mailing address
9078 E Laurel LN
Scottsdale, AZ 85260-6822
Phone (847) 980-8216
Other names 1
- Hannah Morden Palisoc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-006730 | AZ | MD | Occupational Therapist |
| 056005600 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Therapy, Inc. | Current | Accepting new patients | |
| Theracare PLLC | Occupational Therapist | Current | Accepting new patients |
| Shining Star Therapy, LLC | Past | Accepting new patients |
Locations
2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188
530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
-
- Occupational Therapist
- Peoria, AZ
- NPI 1962784249
-
- Pediatric Occupational Therapist
- Plainfield, IL
- NPI 1689792822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1730212978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9078 E LAUREL LN",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606822",
"telephone_number": "847-980-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9385 W DONALD DR STE 116-326",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832988",
"telephone_number": "602-875-5616",
"fax_number": "623-227-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOI",
"first_name": "HANNAH",
"middle_name": "PALISOC",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056005600",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-006730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "PALISOC",
"middle_name": "MORDEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.