Moon River, Llc, NPI 1730143553
Pediatric Occupational Therapist in Marietta, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1730143553 |
| NPI Entity Type | Organization |
| Provider Name | Moon River, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 790 Oak Trail Dr, Marietta, GA, US |
| Provider Mailing Address | 790 Oak Trail Dr, Marietta, GA, US, 300627502 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Maria Teresa Smith |
| Official Position | OFFICE ADMINISTRATOR |
| Phone | 770-977-6866 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Occupational Therapist |
| Classification | |
| Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | GAOT001717 |
| License State | GA |
| Description | Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT008523 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT003833 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT008507 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT001355 | GA | No | ||
| SLP003992 | GA | No | |||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT007864 | GA | No | ||
| SLP005806 | GA | No | |||
| SLP006528 | GA | No | |||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT005771 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
OT004577 | GA | No | ||
| SLP 06551 | GA | No | |||
| SLP 006556 | GA | No | |||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
OT 004293 | GA | No | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
PT008924 | GA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 191707573A | GA | MEDICAID | 05 |
| 240960806A | GA | MEDICAID | 05 |
| 516643175A | GA | MEDICAID | 05 |
| 761415888A | GA | MEDICAID | 05 |
| 814363142A | GA | MEDICAID | 05 |
| 000860736B | GA | MEDICAID | 05 |
| 146855825A | GA | MEDICAID | 05 |
| 765677599A | GA | MEDICAID | 05 |
| 188883028B | GA | MEDICAID | 05 |
| 317872221A | GA | MEDICAID | 05 |
| 339518223A | GA | MEDICAID | 05 |
| 426315361A | GA | MEDICAID | 05 |
| 986209149B | GA | MEDICAID | 05 |
| 000970835A | GA | MEDICAID | 05 |
| 481436178B | GA | MEDICAID | 05 |
| 503885675B | GA | MEDICAID | 05 |
| 850524466A | GA | MEDICAID | 05 |
| 315889908A | GA | MEDICAID | 05 |
| 000753563E | GA | MEDICAID | 05 |
| 461168837A | GA | MEDICAID | 05 |
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