Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moonbeam Therapies PLLC

Organization Occupational Therapist · NPI 1194596254

Moonbeam Therapies PLLC is an Occupational Therapist in Clemmons, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6609 Springfield Village Ln
Clemmons, NC 27012-8996
Phone: (336) 865-2002
Fax: (336) 828-0124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1194596254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Cranford — Owner/Founder · (334) 865-2002
NPI enumeratedJanuary 9, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing addressPo Box 310, Clemmons, NC 27012-0310

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