Active NPI
Michele Leigh Moreno, PT
- Physical Therapist
- Reno, NV
National Provider Identifier
1831253129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5284-024
- Practice address
- 401 Stradella CT
Reno, NV 89521-4299 - Phone
- (608) 225-2009
- NPI assigned
- Dec 20, 2006
- 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 | 3038 | NV | |
| Physical Therapist | 225100000X | PTL-11520 | CO | |
| Physical Therapist | 225100000X | 5284-024 | WI | Primary |
Addresses
Primary practice location
401 Stradella CT
Reno, NV 89521-4299
Mailing address
401 Stradella CT
Reno, NV 89521-4299
Phone (608) 225-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36132400 | Medicaid | WI |
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 |
|---|---|---|---|
| PTL-11520 | CO | MD | Physical Therapist |
| 3038 | NV | MD | Physical Therapist |
| 5284-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janesville Physical Therapy and Rehab Specialists, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Janesville, WI
- NPI 1760495964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618012800000",
"number": "1831253129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 STRADELLA CT",
"city": "RENO",
"state": "NV",
"postal_code": "895214299",
"telephone_number": "608-225-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 STRADELLA CT",
"city": "RENO",
"state": "NV",
"postal_code": "895214299",
"telephone_number": "608-225-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MICHELE",
"middle_name": "LEIGH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3038",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-11520",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5284-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36132400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.