Demi Moses

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013709 Issued in IL

Practice address

3049 W Harrison St
Chicago, IL 60612-3342

Phone

(773) 533-9605

NPI assigned

May 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eyas Landing, Inc.

  • Early Intervention Provider Agency
  • Chicago, IL
  • NPI 1053621391
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1881217461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123342",
            "telephone_number": "773-533-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 W Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606071105",
            "country_code": "US",
            "telephone_number": "312-733-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "DEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Moser Jr., MD
• Ryder Louise Moses-Kessler, M.S., M.D.
• Carol Arlene Moses-Robinson, MA, PSYD
• Lavonzell Moses-Scott
• Allen Jack Moses, D.D.S.
• Doris Moses, RN
• Duwade Marshall Moses Jr.
• Gemeyel A. Moses
• Jacqueline Oluwakemi Moses, PHD
• Jalea T Moses, MD

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

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