Active NPI
Cheryl Moreno, PHYSICAL THERAPIST
- Physical Therapist
- Woodhaven, NY
National Provider Identifier
1447895909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036313
- Practice address
- 8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500 - Phone
- (347) 962-2985
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036313 | NY | Primary |
Addresses
Primary practice location
8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500
Mailing address
8802 91St Ave Apt 1R
Woodhaven, NY 11421-2500
Phone (347) 962-2985
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036313 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1447895909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8802 91ST AVE APT 1R",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212500",
"telephone_number": "347-962-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8802 91ST AVE APT 1R",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212500",
"telephone_number": "347-962-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "CHERYL",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.