Lanie R Moreno, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018759 Issued in IL

Practice address

850 Brookforest Ave Unit L
Shorewood, IL 60404

Phone

(815) 773-9000

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Lanie R Frankel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hillmann Pediatric Therapy

  • Pediatric Occupational Therapist
  • Shorewood, IL
  • NPI 1669500609

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1205110186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST AVE UNIT L",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048516",
            "telephone_number": "815-773-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOKFOREST AVE UNIT L",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "60404",
            "telephone_number": "815-773-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604354912",
            "country_code": "US",
            "telephone_number": "815-220-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37562",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANIE",
            "last_name": "FRANKEL",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayezah Mir, M.D.
• Sidharth Mohan, MSD, BDS, BS
• Nancy A. Moore, CPNP
• Nathan Allen Moore, RBT
• Thomas John Moore, M.D.
• Reem Motan
• Melissa J Murphy, PT
• Faye Musielak, PHARM D
• Megan Lynn Mutz, COTA/L
• MWH S.C.

• Physical Therapist in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.