Individual provider Active NPI

Magdalena Joanna Moranda, PTA

  • Physical Therapy Assistant
  • Wappingers Falls, NY
National Provider Identifier
1295012821
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
006060-1 Issued in NY
Practice address
7 Orange CT
Wappingers Falls, NY 12590-4411
Phone
(917) 496-3396
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 006060-1 NY Primary

Addresses

Primary practice location

7 Orange CT
Wappingers Falls, NY 12590-4411

Mailing address

7 Orange CT
Wappingers Falls, NY 12590-4411
Phone (917) 496-3396

Other practice location 1

45 Park Ave
Yonkers, NY 10703-3401
Phone (914) 376-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006060-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester School for Special Children PastSince Feb 14, 2021 Accepting new patients
Westchester School for Special Children Past Accepting new patients

Organizations & group practices 2

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1295012821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ORANGE CT",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904411",
            "telephone_number": "917-496-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ORANGE CT",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904411",
            "telephone_number": "917-496-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107033401",
            "country_code": "US",
            "telephone_number": "914-376-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORANDA",
        "first_name": "MAGDALENA",
        "middle_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006060-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.