Active NPI
Amanda Moody, MS, OTR/L
- Occupational Therapist
- Eagle, CO
National Provider Identifier
1932422722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2092
- Practice address
- 763 Bull Run
Eagle, CO 81631-4673 - Phone
- (970) 618-8303
- NPI assigned
- Mar 8, 2010
- Last updated
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2092 | CO | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | 2092 | CO | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 2092 | CO |
Addresses
Primary practice location
763 Bull Run
Eagle, CO 81631-4673
Mailing address
PO Box 4673
763 Bull Run
Eagle, CO 81631-4673
Phone (970) 618-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2092 | CO | MD | Feeding, Eating & Swallowing Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1932422722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4673",
"address_2": "763 BULL RUN",
"city": "EAGLE",
"state": "CO",
"postal_code": "816314673",
"telephone_number": "970-618-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 BULL RUN",
"city": "EAGLE",
"state": "CO",
"postal_code": "816314673",
"telephone_number": "970-618-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "2092",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "CO",
"license": "2092",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CO",
"license": "2092",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
- Monica McCarroll, PT
- Krista C McClinton, MA
- Hallie McLaughlin, RDH
- Debra Ann Meese, O.D., PH.D.
- Monica McCarroll, PT LLC
- Courtney L Morrison, B.A.
- Alexa Mossman, ATC
- Jona S Nykreim, PA
- Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
- Obstetrix Medical Group of Colorado, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.