Full Moon Pediatric Therapy Llc - Occupational Therapist in Richmond, VA

Full Moon Pediatric Therapy Llc is a Occupational Therapist based in Richmond, Virginia. Full Moon Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is 1511 Carter St, Richmond, Virginia. It can be reached at their office (for appointments etc.) via phone at (804) 965-3797.

NPI number for Full Moon Pediatric Therapy Llc is 1679209852 and their current mailing address is 1511 Carter St, Richmond, Virginia. Full Moon Pediatric Therapy Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679209852.

Contact Information

Full Moon Pediatric Therapy Llc
1511 Carter St,
Richmond, VA 23220-6903
(804) 965-3797
Not Available



Healthcare Provider's Profile

Full NameFull Moon Pediatric Therapy Llc
TypeFacility
SpecialityOccupational Therapist
Location1511 Carter St, Richmond, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679209852
  • Provider Enumeration Date: 07/28/2022
  • Last Update Date: 01/18/2023

Medical Identifiers

Medical identifiers for Full Moon Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679209852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Full Moon Pediatric Therapy Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Full Moon Pediatric Therapy Llc
1511 Carter St,
Richmond, VA 23220-6903

Ph: (804) 965-3797
Full Moon Pediatric Therapy Llc
1511 Carter St,
Richmond, VA 23220-6903

Ph: (804) 965-3797

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Occupational Therapist in Richmond, VA

Mrs. Ashley Fariss Stewart, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4840 Waller Rd, Richmond, VA 23230
Phone: 804-893-5010    
Mrs. Megan Elise Evelyn Breakall, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Saunders Ave, Richmond, VA 23227
Phone: 804-358-1874    
Mrs. Kimberly Jo Powell, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249
Phone: 804-675-5000    Fax: 804-675-5551
Mary Griessbach,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249
Phone: 804-675-5000    
Mr. James Lyle Wilkerson, OTR
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 514 N 24th St, Richmond, VA 23223
Phone: 804-874-4437    
Regina R Tune, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7650 E Parham Rd, Suite 100, Richmond, VA 23294
Phone: 804-282-6338    Fax: 804-285-3237
Mrs. Julianne Jerina Marcus, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Skipwith Rd, Richmond, VA 23229
Phone: 804-673-3755    

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