Individual provider Active NPI

Janel De Moses, MOTR/L

  • Occupational Therapist
  • Milwaukie, OR
National Provider Identifier
1659733988
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
274590 Issued in OR
Practice address
12200 SE McLoughlin Blvd Apt 2302
Milwaukie, OR 97222-7207
Phone
(763) 226-9725
NPI assigned
Mar 25, 2016
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4225 OR
Occupational Therapist 225X00000X 274590 OR Primary

Addresses

Primary practice location

12200 SE McLoughlin Blvd Apt 2302
Milwaukie, OR 97222-7207

Mailing address

17780 Hill Way
Lake Oswego, OR 97035-5418
Phone (763) 226-9725

Other names 1

  • Janel Ludenia 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
4225ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1659733988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 HILL WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355418",
            "telephone_number": "763-226-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 SE MCLOUGHLIN BLVD APT 2302",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227207",
            "telephone_number": "763-226-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MOSES",
        "first_name": "JANEL",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4225",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "274590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEL",
            "last_name": "LUDENIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.