Moonbeam and Miracles Therapeutic Horsemanship Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MOONBEAM AND MIRACLES THERAPEUTIC HORSEMANSHIP CENTER

Practice address

2075 NC Highway 121
Greenville, NC 27834-7188

Phone

(252) 414-7815

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Sherry Moore

Title

Owner

Phone

(252) 414-7815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1861009847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NC HIGHWAY 121",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347188",
            "telephone_number": "252-414-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NC HIGHWAY 121",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347188",
            "telephone_number": "252-414-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONBEAM AND MIRACLES THERAPEUTIC HORSEMANSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-414-7815"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Rebecca Montgomery
• James Moody
• Jennifer Pope Moody, CRNA
• Gaurav Gangwar Mookerjee, MD
• Sukyung Moon
• Bernetta Moore- Sutton, MS, LPCA
• Alexis Moore
• Amy Moore, LCSWA, MSW
• Ashley Briana Moore, MD
• Candice Moore, LCAS-A

• Occupational Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.