MRS. SALLY MARIE MOEGGENBERG MPT
NPI 1689982126
Physical Therapist - Pediatrics in Portland, OR

Q: What is Sally Moeggenberg's NPI number?

The NPI number for Sally Moeggenberg is 1689982126. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Q: What is Sally Moeggenberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Sally Moeggenberg was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 17, 2010

3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 221-3429 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Sally Marie Moeggenberg Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SALLY MARIE MOEGGENBERG MPT (NPI 1689982126) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (2422) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1689982126

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMRS. SALLY MARIE MOEGGENBERGCredential: MPT

Location Address3101 SW SAM JACKSON PARK RDPortland, OR 97239-3009

Mailing Address4063 Se Ash StPortland, OR 97214-2017 · (503) 234-3503

Phone(503) 221-3429

Sole ProprietorYes

Enumeration DateSeptember 17, 2010

✔ NPI 1689982126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in OR · 2422

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

3101 SW SAM JACKSON PARK RD, Portland, OR 97239

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE ALAN TAYLOR MD

Anesthesiology