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

Moss Occupational Therapy Service LLC

Organization Occupational Therapist · NPI 1932626884

Moss Occupational Therapy Service LLC is an Occupational Therapist in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2508 Brookgate Way
Ellenwood, GA 30294-2390
Phone: (404) 957-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT005980 (GA)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence OT005980 (GA)

Record details

NPI number1932626884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Lin — Occupational Therapist · (404) 957-5015
NPI enumeratedAugust 22, 2017
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address4093 Villagewood Ln, Ellenwood, GA 30294-5721

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