Renee Marie Moran, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2729 Issued in ME

Practice address

43 Bangor Mall Blvd Unit D-1
Bangor, ME 04401-3612

Phone

(207) 291-5714

Fax

(207) 433-1246

NPI assigned

Jun 30, 2008

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beane Family Ventures Inc.Group PAC ID 8022455484, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Beane Family Ventures Inc.

  dba FYZICAL Therapy & Balance Center

  • Physical Therapy Clinic/Center
  • Bangor, ME
  • NPI 1639940646

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beane Family Ventures Inc.

  dba FYZICAL Ellsworth

  • Physical Therapy Clinic/Center
  • Ellsworth, ME
  • NPI 1386599488
  NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1154583391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ALLISON PARK",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121350",
            "telephone_number": "207-989-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BANGOR MALL BLVD UNIT D-1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013612",
            "telephone_number": "207-291-5714",
            "fax_number": "207-433-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Allison Park",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121350",
            "country_code": "US",
            "telephone_number": "207-989-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Moore, LCSW
• Mary R Moore, CRNA
• Nicole K Moore, PAC
• Robert Danny Moore, DDS, MD
• Melinda Rae Moran, RDH
• Kathryn Marie Mordino, ANP-BC
• More Than Therapy LLC
• Michael Moreau, PA
• Sarah Moreau, CFNP
• Olive Morelli

• Physical Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.