Individual provider Active NPI

Jennifer Katherine Moyano, OTR/L

  • Pediatric Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1760741243
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
957 Issued in OK
Practice address
5700 N Portland Ave
Suite 310
Oklahoma City, OK 73112-1668
Phone
(405) 314-6642
Fax
(405) 601-9184
NPI assigned
May 3, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 957 OK Primary

Addresses

Primary practice location

5700 N Portland Ave
Suite 310
Oklahoma City, OK 73112-1668

Mailing address

5700 N Portland Ave
Suite 310
Oklahoma City, OK 73112-1668
Phone (405) 314-6642

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

LicenseStateTypeSpecialty
957OKMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1760741243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE",
            "address_2": "SUITE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121668",
            "telephone_number": "405-314-6642",
            "fax_number": "405-601-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE",
            "address_2": "SUITE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121668",
            "telephone_number": "405-314-6642",
            "fax_number": "405-601-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYANO",
        "first_name": "JENNIFER",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.