Roxanna Momeni

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

124368 Issued in AK

Practice address

2020 N Hemmer Rd
Palmer, AK 99645-9604

Phone

(907) 887-1697

Fax

(888) 919-1403

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Peaceful Center Occupational Therapy, LLC.

  • Occupational Therapist
  • Palmer, AK
  • NPI 1598231649
  NPD Authorized official

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1285094441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N HEMMER RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459604",
            "telephone_number": "907-887-1697",
            "fax_number": "888-919-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N HEMMER RD",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459604",
            "telephone_number": "907-887-1697",
            "fax_number": "888-919-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Legion Way SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011652",
            "country_code": "US",
            "telephone_number": "360-596-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMENI",
        "first_name": "ROXANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "124368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana T Miner-Collins, LMFT
• Gracie Rielle Minnick-Whaley
• Stephanie Miramontes
• Madison Mitchell-Huckabay
• Babee Angelynne Mitchell, PA-C
• Katie M Montano, NP
• Miranda Christina Montejo, PT
• Jeffrey William Montgomery, DPT
• Melanee Rose Mooneyham
• Jeremiah D Morin

• All providers in Palmer, AK
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.