Kristine Martha Chua Moje

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10067 Issued in OR

Practice address

1055 N Anchor Way Apt 344
Portland, OR 97217-7574

Phone

(626) 379-0054

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1093446593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N ANCHOR WAY APT 344",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N ANCHOR WAY APT 344",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177574",
            "telephone_number": "626-379-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJE",
        "first_name": "KRISTINE MARTHA",
        "middle_name": "CHUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50855",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10067",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P161307132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Justine Mohr
• Helia Mohseni
• Kourosh Mohtadi, MD
• Sarvenaz Mohtashami, PHARMACIST (PHARM.D)
• Maariyah Moinuddin
• Emily Mojica
• Susana Mojica, LMT
• Tadesse Melka Mojo
• Stephanie Shobha Mokashi
• Mokuti Medical Arts, LLC

• Physical Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.