Individual provider Active NPI

Hannah Palisoc Mooi, OTR

  • Occupational Therapist
  • Peoria, AZ
National Provider Identifier
1730212978
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-006730 Issued in AZ
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

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127002035 AZ Practitioner - Occupational Therapist in Private Practice 7416382163 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-006730AZMDOccupational Therapist
056005600ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Therapy, Inc. CurrentSince Nov 11, 2019 Accepting new patients
Theracare PLLC Occupational Therapist CurrentSince Nov 11, 2019 Accepting new patients
Shining Star Therapy, LLC PastSince Mar 4, 2021 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.

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.

Verify at the official NPI Registry.