Individual provider Active NPI

Terence E Moran, DPT

  • Physical Therapist
  • West Milford, NJ
National Provider Identifier
1144376690
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01121500 Issued in NJ
Practice address
2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900
Phone
(973) 728-5588
Fax
(973) 728-0928
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01121500 NJ Primary

Addresses

Primary practice location

2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900

Mailing address

6 Douglas Court
Sussex, NJ 07461
Phone (862) 266-6669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000317 NJ Practitioner - Physical Therapist in Private Practice 4789641283 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
South Orange Chiropractic CenterGroup PAC ID 6406904762, 8 clinicians
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

60 1St St
South Orange, NJ 07079-1916
Phone (973) 761-0022

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Mar 9, 2019 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Feb 17, 2014 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Feb 17, 2014 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

80 Mill St
#1
Newton, NJ 07860
Phone (973) 940-7311

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

179 Cahill Cross Rd
Ste 308
West Milford, NJ 07480
Phone (973) 728-0906

2024 Macopin Rd
Ste E
West Milford, NJ 07480
Phone (973) 506-6727

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1144376690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DOUGLAS COURT",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "07461",
            "telephone_number": "862-266-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 MACOPIN RD",
            "address_2": "SUITE E",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801900",
            "telephone_number": "973-728-5588",
            "fax_number": "973-728-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TERENCE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01121500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.