Wenona Renee Moten, MASSAGE THERAPIST

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

R01639 Issued in MD

Practice address

6831 Wisconsin Ave # 401
Bethesda, MD 20815-6122

Phone

(301) 346-1720

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1427684588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 OUTPOST DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784808",
            "telephone_number": "301-346-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 WISCONSIN AVE # 401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208156122",
            "telephone_number": "301-346-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "WENONA",
        "middle_name": "RENEE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "MD",
            "license": "R01639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Moss, M.D., PH.D.
• Farzad Mostashari
• Lauretta Mosteller
• Omid Motabar, M.D.
• Amy Leigh Motamed, D.O.
• Mahsa Motevalli
• Motherkin LLC
• Kenneth Ray Motoyama, D.O.
• Motsen LLC (Buckley's Renewal Center)
• Rosa Moudene, RN

• Sports Medicine (Preventive Medicine) Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Sports Medicine (Preventive Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.