Active NPI
Megan Mock Moening, OT
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1487012654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7465
- Practice address
- 5757 W Thunderbird Rd Ste 465
Glendale, AZ 85306-4650 - Phone
- (602) 243-9945
- Fax
- (602) 843-8775
- NPI assigned
- Feb 3, 2016
- Last updated
- May 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.009180 | OH | |
| Occupational Therapist | 225X00000X | 7465 | AZ | Primary |
Addresses
Primary practice location
5757 W Thunderbird Rd Ste 465
Glendale, AZ 85306-4650
Mailing address
300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 279-6905
Other practice location 1
4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone (614) 827-1050
Other names 1
- Megan J Mock
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 |
|---|---|---|---|
| 7465 | AZ | MD | Pharmacist |
| OT.009180 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1487012654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE STE 285",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133474",
"telephone_number": "602-279-6905",
"fax_number": "602-279-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W THUNDERBIRD RD STE 465",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064650",
"telephone_number": "602-243-9945",
"fax_number": "602-843-8775"
}
],
"practiceLocations": [
{
"address_1": "4605 Sawmill Rd",
"address_purpose": "LOCATION",
"city": "Upper Arlington",
"state": "OH",
"postal_code": "432202246",
"country_code": "US",
"telephone_number": "614-827-1050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOENING",
"first_name": "MEGAN",
"middle_name": "MOCK",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.009180",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "7465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MOCK",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.