Individual provider Active NPI

Megan Mock Moening, OT

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1487012654
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7465 Issued in AZ
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
7465AZMDPharmacist
OT.009180OHMDOccupational 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.

Verify at the official NPI Registry.