Active NPI
Patricia Jean Moursalian, OTR
- Occupational Therapist
- Mount Angel, OR
National Provider Identifier
1003082470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1056485
- Practice address
- 540 S Main St
Mount Angel, OR 97362-9540 - Phone
- (503) 845-6841
- Fax
- (503) 845-9229
- NPI assigned
- May 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1056485 | OR | Primary |
Addresses
Primary practice location
540 S Main St
Mount Angel, OR 97362-9540
Mailing address
540 S Main St
Mount Angel, OR 97362-9540
Phone (503) 845-6841
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1056485 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Silverton Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Woodburn, OR
- NPI 1619172780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1003082470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S MAIN ST",
"city": "MOUNT ANGEL",
"state": "OR",
"postal_code": "973629540",
"telephone_number": "503-845-6841",
"fax_number": "503-845-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S MAIN ST",
"city": "MOUNT ANGEL",
"state": "OR",
"postal_code": "973629540",
"telephone_number": "503-845-6841",
"fax_number": "503-845-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURSALIAN",
"first_name": "PATRICIA",
"middle_name": "JEAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1056485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Angel, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.