Maria Angela Monique S Moreno
Individual provider Active NPI Physical Therapist · Roma, TX
NPI 1972220879 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1972220879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1355179 (TX)
- Practice address
- 630 E Bravo Blvd Ste 2
Roma, TX 78584-5721 - Phone
- (956) 847-4424
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Performance Therapeutics-Weslaco, PLLC
Practice addresses (Care Compare)
1210 E 8TH St
Suite 1a
Weslaco, TX 78596-7120
Phone (956) 351-5870
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221205001249 | TX | Practitioner - Physical Therapist in Private Practice | 8325417900 | Reassigns benefits to 14 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapeutics - Eagle Pass, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics-Elsa, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - McAllen North, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics Brownsville, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics Mission | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - del Rio, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics-Weslaco, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics-McAllen | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - San Antonio PLLC | Current |
Accepting new patients | |
| Performance Therapeutics PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics Rio Grandecity PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics Alton, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - Harlingen, PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - San Antonio PLLC | Physical Therapist | Current |
Accepting new patients |
| Performance Therapeutics - Roma PLLC | Past |
Accepting new patients | |
| Performance Therapeutics Harlingen PLLC | Past |
Accepting new patients | |
| Performance Therapeutics Mission PLLC | Past |
Accepting new patients |
Locations
415 W Main Ave
Ste 3
Alton, TX 78573
Phone (956) 599-9155
1740 Boca Chica Blvd
Ste 500
Brownsville, TX 78520
Phone (956) 548-1133
2409 Veterans Blvd
Ste 5
Del Rio, TX 78840
Phone (830) 488-6265
2483 2nd St
Ste B
Eagle Pass, TX 78852
Phone (830) 776-5181
2502 W Freddy Gonzalez Dr
Ste B
Edinburg, TX 78539
Phone (956) 381-1600
310 N Ed Carey Dr
Ste B
Harlingen, TX 78550
Phone (956) 622-3105
500 Lindberg Ave
McAllen, TX 78501
Phone (956) 687-4555
2101 N 23rd St
McAllen, TX 78501
2528 Buddy Owens Ave
McAllen, TX 78504
Phone (956) 627-4358
1317 St Claire Blvd
Ste A2
Mission, TX 78572
Phone (956) 584-3535
101 N FM 3167
Ste 105
Rio Grande Cy, TX 78582
Phone (956) 488-1999
8333 Culebra Rd
Ste 202B
San Antonio, TX 78251
Phone (210) 236-8040
7220 Louis Pasteur Dr
Ste 144
San Antonio, TX 78229
Phone (210) 614-8777
1210 E 8th St
Ste 1A
Weslaco, TX 78596
Phone (956) 351-5870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1355179 | TX | Yes |
Addresses
Primary practice location
630 E Bravo Blvd Ste 2
Roma, TX 78584-5721
Mailing address
2101 N 23Rd St
McAllen, TX 78501-6127
Phone (956) 687-4559
Other providers in Roma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.