Active NPI
Katie Moul, MSOTR/L
- Occupational Therapist
- Ozark, AL
National Provider Identifier
1831587922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4902
- Practice address
- 193 Sam Lisenby Rd
Ozark, AL 36360 - Phone
- (334) 445-6336
- NPI assigned
- Dec 26, 2014
- 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 | 3157 | NM | |
| Occupational Therapist | 225X00000X | 4902 | AL | Primary |
Addresses
Primary practice location
193 Sam Lisenby Rd
Ozark, AL 36360
Mailing address
21 County Road 739
Enterprise, AL 36330-6829
Phone (908) 872-7113
Other practice location 1
1400 West 21st Street
Clovis, NM 88101
Phone (575) 762-4705
Other practice location 2
1400 West 21st Street
Clovis, NM 88101
Phone (575) 762-4705
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 |
|---|---|---|---|
| 4902 | AL | MD | Occupational Therapist |
| 3157 | NM | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumlar Therapy Service, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1419552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1831587922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 COUNTY ROAD 739",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363306829",
"telephone_number": "908-872-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 SAM LISENBY RD",
"city": "OZARK",
"state": "AL",
"postal_code": "36360",
"telephone_number": "334-445-6336"
}
],
"practiceLocations": [
{
"address_1": "1400 West 21st Street",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "88101",
"country_code": "US",
"telephone_number": "575-762-4705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 West 21st Street",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "88101",
"country_code": "US",
"telephone_number": "575-762-4705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUL",
"first_name": "KATIE",
"name_prefix": "Mrs.",
"credential": "MSOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-26",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3157",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.