Stephen M Moran, RPT
Individual provider Active NPI Physical Therapist · Columbia, CT
NPI 1407922941 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407922941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 003926 (CT)
- Practice address
- 106 Route 66 East
Columbia, CT 06237 - Phone
- (860) 228-0194
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003926 | CT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003926 | CT | Yes |
Addresses
Primary practice location
106 Route 66 East
Columbia, CT 06237
Mailing address
106 Route 66 East
Columbia, CT 06237
Phone (860) 228-0194
Other providers in Columbia, CT
- Andrew McGovern
- Julia Mendes
- Kurt Banning Mias
- Sherry L. Michaud
- Laureen Moran
- Travis Moran
- Zachary Moran
- New England Holistic Well-Being Center LLC
- Dawn Marie Orzolek
- Jarlyn Phillips
All providers in Columbia, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.