Individual provider Active NPI

Nancy Ann Moschetti, COTA

  • Occupational Therapy Assistant
  • Winter Haven, FL
National Provider Identifier
1851682884
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA 9370 Issued in FL
Practice address
574 Cody Caleb Dr
Winter Haven, FL 33884-2206
Phone
(863) 899-9575
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 9370 FL Primary

Addresses

Primary practice location

574 Cody Caleb Dr
Winter Haven, FL 33884-2206

Mailing address

574 Cody Caleb Dr
Winter Haven, FL 33884-2206
Phone (863) 899-9575

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
OTA 9370FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1851682884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CODY CALEB DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842206",
            "telephone_number": "863-899-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 CODY CALEB DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842206",
            "telephone_number": "863-899-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCHETTI",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 9370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.