Active NPI
Melissa Mocklin-Dwiggins, OTR/L
- Occupational Therapist
- Tigard, OR
National Provider Identifier
1215120837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1055485
- Practice address
- 10220 SW Greenburg Rd
Suite 201
Tigard, OR 97223-5503 - Phone
- (503) 570-3665
- NPI assigned
- Aug 27, 2007
- 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 | 1055485 | OR | Primary |
Addresses
Primary practice location
10220 SW Greenburg Rd
Suite 201
Tigard, OR 97223-5503
Mailing address
5455 SW Franklin Ave
Beaverton, OR 97005-2861
Phone (503) 317-8365
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055485 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1215120837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 SW FRANKLIN AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052861",
"telephone_number": "503-317-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 SW GREENBURG RD",
"address_2": "SUITE 201",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235503",
"telephone_number": "503-570-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCKLIN-DWIGGINS",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1055485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.