Active NPI
Laura Moran, PT, DPT
- Physical Therapist
- Lake Bluff, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070040022
- Practice address
- 233 Waukegan Rd
Lake Bluff, IL 60044-1666 - Phone
- (847) 735-8104
- NPI assigned
- Oct 1, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047734 | NY | |
| Physical Therapist | 225100000X | 0020300 | CO | |
| Physical Therapist | 225100000X | 070040022 | IL | Primary |
Addresses
Primary practice location
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Drexel University College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
57 W 57TH St
FL 15
New York, NY 10019-2832
Phone (646) 790-7464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047734 | NY | MD | Pharmacist |
| 0020300 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Orthopedics Medical Group, Inc. | Current | Accepting new patients | |
| Spear Physical and Occupational Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700
2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366
3525 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-6415
3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955
57 W 57th St
Fl 15
New York, NY 10019
Phone (212) 289-0700
120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466
31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427
Organizations & group practices 3
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
- New York, NY
- NPI 1063454577
Physical Therapist
-
- Specialist
- Ventura, CA
- NPI 1871547315
-
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1790457448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 WAUKEGAN RD",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600441666",
"telephone_number": "847-735-8104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LAURA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047734",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0020300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070040022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.