Individual provider Active NPI

Christopher Moody, O.T.R/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1780704288
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2005 Issued in FL
Practice address
11845 SW 216 Street
Miami, FL 33170-2938
Phone
(786) 293-3933
Fax
(305) 378-0078
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 OT2005 FL Primary

Addresses

Primary practice location

11845 SW 216 Street
Miami, FL 33170-2938

Mailing address

11845 SW 216 Street
Miami, FL 33170-2938
Phone (786) 293-3933

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT2005FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Networking Plus, Inc. Occupational Therapist CurrentSince Feb 13, 2022 Accepting new patients
Rehabilitation Center of Miami LLC PastSince Feb 27, 2003 Accepting new patients
Reaction Rehab, LLC PastSince Apr 1, 2015 Accepting new patients
Activa, LC Occupational Therapist Past Accepting new patients

Locations

11845 SW 216th St
Miami, FL 33170
Phone (305) 783-9247

Organizations & group practices 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1780704288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 SW 216 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702938",
            "telephone_number": "786-293-3933",
            "fax_number": "305-378-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SW 216 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702938",
            "telephone_number": "786-293-3933",
            "fax_number": "305-378-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "CHRISTOPHER",
        "credential": "O.T.R/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-02-04",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.