Mariana Daniela Moise, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.019485 Issued in IL

Practice address

2500 Windsor Mall Apt 3E
Park Ridge, IL 60068-3639

Phone

(646) 400-4764

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mariana Daniela Prutica Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Core Physical Therapy and Wellness PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1487226312
  Medicare reassignment NPD
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1912030941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WINDSOR MALL APT 3E",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683639",
            "telephone_number": "646-400-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WINDSOR MALL APT 3E",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683639",
            "telephone_number": "646-400-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE",
        "first_name": "MARIANA",
        "middle_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028911-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "PRUTICA",
            "middle_name": "DANIELA",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eric Warren Moffet, MD
• Abdul Razzak Mohammed
• Sarah Mohammed, DO
• Alok Mohanty, M.D.
• Navya Mohlajee
• Heather L Moky, DPT
• Nathan Scott Molony-Steiner, M.D.
• Brian Garrett Money, D.O.
• Monica Argumedo, MD, PLLC
• Gerald Andrew Monk, D.C.

• Physical Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.

Verify at the official NPI Registry.