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Marisa Mooney

Speech-Language Pathologist β€’ Sandy, OR

Active NPI 1588393961 Individual Practitioner Female Practitioner
Practice location in NPPES

17420 Meinig Ave
Sandy, OR 970558068

Call 5034270118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17420 Meinig Ave

Sandy, OR 970558068

Telephone 5034270118
Organization at the Same NPPES Address or Phone
Physiotherapy Associates, Inc. Facility NPI 1487379020

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Marisa Mooney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Sandy and Oregon

1 active clinicians are listed under Speech-Language Pathologist with a practice address in Sandy, OR (2,091 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OR 17914

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250613001911

Enrollment State Jurisdiction

OR

PECOS Control ID

2567973936

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Andrew Murakami , PT

Physical Therapist

NPI 1467193847

Physical Therapist

Dr. Daryn Portman , DPT

Physical Therapist

NPI 1366083719

Doctor of Physical Therapy

Dr. Jonathan Rice , DPT

Physical Therapist

NPI 1457784779

Doctor of Physical Therapy

NPI 1710430228

Physical Therapist, Doctor of Physical Therapy

Virginia Sunseri

Physical Therapist

NPI 1912379256
NPI 1497358451

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 24, 2025

Registered at 17420 MEINIG AVE, SANDY, OR 970558068 (Tel: 5034270118)

πŸ“
Updated Business Mailing Address April 24, 2025

Registered at 17420 MEINIG AVE, SANDY, OR 970558068 (Tel: 5034270118)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2025

Speech-Language Pathologist (license number reported to NPPES: OR 17914)

βœ…
NPI Profile Active June 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2022

Registered at 1321 COLLEGE ST STE E, WOODLAND, CA 956954706 (Tel: 9168492349)

πŸ“
Business Mailing Address (Initial Record) June 09, 2022

Registered at 1321 COLLEGE ST STE E, WOODLAND, CA 956954706 (Tel: 9168492349)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2022

Recorded as MARISA MOONEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2022

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration June 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588393961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2022
Last Update: April 24, 2025
Sole Proprietor: No

Mailing Address

17420 Meinig Ave

Sandy, OR 970558068

Phone: 5034270118

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.