Active NPI
Megan Marie Moseley, PT, LMT
- Physical Therapist
- Portland, OR
National Provider Identifier
1235180977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2177
- Practice address
- 1030 NW 12TH Ave
Ste 1
Portland, OR 97209-2838 - Phone
- (503) 701-4390
- Fax
- (503) 974-2612
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2177 | OR | Primary |
Addresses
Primary practice location
1030 NW 12TH Ave
Ste 1
Portland, OR 97209-2838
Mailing address
1400 NW Irving St
Apt 709
Portland, OR 97209-2260
Phone (541) 912-0594
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 |
|---|---|---|---|
| 2177 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1235180977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NW IRVING ST",
"address_2": "APT 709",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092260",
"telephone_number": "541-912-0594",
"fax_number": "541-343-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 NW 12TH AVE",
"address_2": "STE 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092838",
"telephone_number": "503-701-4390",
"fax_number": "503-974-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "MEGAN",
"middle_name": "MARIE",
"credential": "PT, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "2177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.