Active NPI
Cheryl A Moffat, LMT
- Massage Therapist
- Wilsonville, OR
National Provider Identifier
1518280361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5322
- Practice address
- 25195 SW Parkway Ave
Ste# 205
Wilsonville, OR 97070-9651 - Phone
- (503) 209-5367
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5322 | OR | Primary |
Addresses
Primary practice location
25195 SW Parkway Ave
Ste# 205
Wilsonville, OR 97070-9651
Mailing address
2557 Wisteria CT
West Linn, OR 97068-7312
Phone (503) 209-5367
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5322 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1518280361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 WISTERIA CT",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970687312",
"telephone_number": "503-209-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25195 SW PARKWAY AVE",
"address_2": "STE# 205",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709651",
"telephone_number": "503-209-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFAT",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "5322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.