Alexandra J Moreland, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-24061 Issued in OR

Practice address

936 SE Ankeny St
Portland, OR 97214-1300

Phone

(503) 232-3215

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reconstructed Wellness, LLC

  • Naturopath
  • Portland, OR
  • NPI 1750889895
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1194318055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141300",
            "telephone_number": "503-232-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 SE ANKENY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141300",
            "telephone_number": "503-232-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "ALEXANDRA",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-24061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Huntington Morehouse, PA-C
• Kris Morel, LMT
• Moreland Family Eye Care PC
• Moreland Pediatrics, PC
• Moreland Physical Therapy Inc
• Alisha R. Moreland, M.D.
• Christopher Michael Moreland
• Dezhae Moreland
• Erin Michelle Moreland, L.AC.
• Madeleine Sierra Moreland

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.