Vernon Moss, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z10600 Issued in LA

Practice address

109 Kiowa St
Monroe, LA 71203-8565

Phone

(318) 557-1672

Fax

(318) 345-2862

NPI assigned

Apr 17, 2007

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Triumph Rehabilitation and Sports Therapy Clinic, LLC

  dba TRIUMPH Rehabilitation / Sports Injuries Clinic

  • Occupational Therapist
  • Monroe, LA
  • NPI 1801157052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1912123480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KIOWA ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038565",
            "telephone_number": "318-557-1672",
            "fax_number": "318-345-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KIOWA ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038565",
            "telephone_number": "318-557-1672",
            "fax_number": "318-345-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "VERNON",
        "name_prefix": "Mr.",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434957",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynette Moss
• Joseph Carter Moss, O.D.
• Mary Hastings Moss, P-LPC, NCC
• Miranda Kay Moss, MS/CCC-SLP
• Rodericka Moss
• Teairra D Mott
• Ali Mousa, DDS
• Mohammad Mousa, M.D.
• Rosie Moy
• Ahmad Kabir Mughal, M.D

• Occupational Therapist in Monroe, LA
• Providers in Monroe, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.