Individual provider Active NPI

Maria Angela Monique S Moreno

  • Physical Therapist
  • Roma, TX
National Provider Identifier
1972220879
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1355179 Issued in TX
Practice address
630 E Bravo Blvd Ste 2
Roma, TX 78584-5721
Phone
(956) 847-4424
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1355179 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205001249 TX Practitioner - Physical Therapist in Private Practice 8325417900 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
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, PLLCGroup PAC ID 8527111822, 2 clinicians

Practice addresses (Care Compare)

1210 E 8TH St
Suite 1a
Weslaco, TX 78596-7120
Phone (956) 351-5870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapeutics-McAllen Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Performance Therapeutics - Eagle Pass, PLLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Performance Therapeutics Rio Grandecity PLLC Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Performance Therapeutics Mission Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Performance Therapeutics-Elsa, PLLC Physical Therapist CurrentSince Oct 11, 2023 Accepting new patients
Performance Therapeutics Brownsville, PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Performance Therapeutics PLLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Performance Therapeutics - San Antonio PLLC CurrentSince Jan 10, 2024 Accepting new patients
Performance Therapeutics - San Antonio PLLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Performance Therapeutics - del Rio, PLLC Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Performance Therapeutics - Harlingen, PLLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Performance Therapeutics-Weslaco, PLLC Physical Therapist CurrentSince Oct 11, 2023 Accepting new patients
Performance Therapeutics Alton, PLLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Performance Therapeutics - McAllen North, PLLC Physical Therapist CurrentSince Oct 11, 2023 Accepting new patients
Performance Therapeutics Mission PLLC PastSince Aug 1, 2023 Accepting new patients
Performance Therapeutics Harlingen PLLC PastSince Jun 1, 2024 Accepting new patients
Performance Therapeutics - Roma PLLC PastSince Oct 5, 2022 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

2101 N 23rd St
McAllen, TX 78501
Phone (956) 687-4565

2528 Buddy Owens Ave
McAllen, TX 78504
Phone (956) 627-4358

500 Lindberg Ave
McAllen, TX 78501
Phone (956) 687-4555

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

7220 Louis Pasteur Dr
Ste 144
San Antonio, TX 78229
Phone (210) 614-8777

8333 Culebra Rd
Ste 202B
San Antonio, TX 78251
Phone (210) 236-8040

1210 E 8th St
Ste 1A
Weslaco, TX 78596
Phone (956) 351-5870

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1972220879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016127",
            "telephone_number": "956-687-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BRAVO BLVD STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845721",
            "telephone_number": "956-847-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARIA ANGELA MONIQUE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1355179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.