Jamie Moody, MOT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-1053 Issued in WY

Practice address

1801 S 4J Rd
Gillette, WY 82718-5201

Phone

(307) 682-2392

NPI assigned

Feb 1, 2017

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Developmental Services of Campbell County

  • Clinic/Center
  • Gillette, WY
  • NPI 1801088497
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1902344724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 4J RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 4J RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185201",
            "telephone_number": "307-682-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JAMIE",
        "credential": "MOT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Henry Monahan
• Paula Marie Monlux, APRN
• Laura Elena Montes
• Monument Health Rapid City Hospital, Inc (Monument Health Gillette Clinic)
• Monument Health Rapid City Hospital, Inc (Monument Health Gillette Clinic)
• Jacqueline Moran
• Daniel Morin, D.D.S., M.S.
• Monica L Morman, MD
• Karissa Morris
• Daniel J Morrison, DDS

• Occupational Therapist in Gillette, WY
• Providers in Gillette, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.