London Alexis Moening, S/OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201014278 Issued in MI

Practice address

1434 W Chicago Blvd Ste a
Tecumseh, MI 49286-8727

Phone

(517) 507-5556

NPI assigned

May 29, 2024

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Diverge Community Services, LLC

  • Occupational Therapist
  • Flat Rock, MI
  • NPI 1174230270
  Medicare reassignment NPD
• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Occupational Therapist

  Medicare reassignment NPD
• Neurospace LLC

  • Occupational Therapist
  • Saline, MI
  • NPI 1134088537
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1295575116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 W CHICAGO BLVD STE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492868727",
            "telephone_number": "517-507-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENING",
        "first_name": "LONDON",
        "middle_name": "ALEXIS",
        "credential": "S/OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle McKibben, RDH
• Midwest Behavioral Health Center
• Midwest Behavioral Health Center II
• Craig A Miller, LMSW ACSW
• Mindshift Counseling LLC
• Morgan Marie Monahan
• Sophie Mondro
• Nancy Mueller, RPH
• Dawson Mull
• Sally Mulnix, OT

• Occupational Therapist in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.