Melissa Marie Moffett, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC009003 Issued in PA

Practice address

57 Brookshire Ter
Philadelphia, PA 19116-1229

Phone

(215) 779-7783

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861619595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROOKSHIRE TER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161229",
            "telephone_number": "215-779-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BROOKSHIRE TER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161229",
            "telephone_number": "215-779-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mofeth & Noel LLC
• Gina Marie Moffa, D.O.
• Joseph Moffa
• Victoria Moffa
• Alexander Thomas Moffett, M.D.
• Katharine Moffit, LDN, RD, IBCLC
• Victoria Nicole Moffitt
• Stephanie Aida Moga
• Raja Nanda Gopal Mogallapu, MD
• Kristin Mogelinski, PA-C

• Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.