Active NPI
Megan Moe, O.T.R
- Occupational Therapist
- Pewaukee, WI
National Provider Identifier
1669907648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6078-26
- Practice address
- W271N2596 Pear Tree LN
Pewaukee, WI 53072-4428 - Phone
- (414) 881-4206
- NPI assigned
- Apr 27, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6078-26 | WI | Primary |
Addresses
Primary practice location
W271N2596 Pear Tree LN
Pewaukee, WI 53072-4428
Mailing address
W271N2596 Pear Tree LN
Pewaukee, WI 53072-4428
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1669907648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W271N2596 PEAR TREE LN",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W271N2596 PEAR TREE LN",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724428",
"telephone_number": "414-881-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOE",
"first_name": "MEGAN",
"credential": "O.T.R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6078-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.