Active NPI
Mariana Moreno
- Physical Therapist
- Columbia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8056
- Practice address
- 1215 Highway 98 Byp
Columbia, MS 39429-3702 - Phone
- (601) 444-5050
- Fax
- (601) 444-5072
- NPI assigned
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 8056 | MS | Primary |
Addresses
Primary practice location
1215 Highway 98 Byp
Columbia, MS 39429-3702
Mailing address
42465 Highway 195
Haleyville, AL 35565-7052
Phone (256) 350-1764
Other practice location 1
122 98 Place Blvd
Hattiesburg, MS 39402-8676
Phone (601) 268-0208
Other practice location 2
1044 Highway 42
Petal, MS 39465-2671
Phone (601) 544-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Hwy 98 E
Columbia, MS 39429-3702
Phone (256) 350-1764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753
1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070
122 98 Place Blvd
Hattiesburg, MS 39402
Phone (601) 268-0208
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
1044 Highway 42
Petal, MS 39465
Phone (601) 544-0500
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.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Physical Therapist
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1467339663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42465 HIGHWAY 195",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355657052",
"telephone_number": "256-350-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HIGHWAY 98 BYP",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394293702",
"telephone_number": "601-444-5050",
"fax_number": "601-444-5072"
}
],
"practiceLocations": [
{
"address_1": "122 98 Place Blvd",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394028676",
"country_code": "US",
"telephone_number": "601-268-0208",
"fax_number": "601-268-0440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 Highway 42",
"address_purpose": "LOCATION",
"city": "Petal",
"state": "MS",
"postal_code": "394652671",
"country_code": "US",
"telephone_number": "601-544-0500",
"fax_number": "601-544-0505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "MARIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "8056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.