Carlos Moreno

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00819-G Issued in RI

Practice address

175 Nate Whipple Hwy Ste 201
Cumberland, RI 02864-1423

Phone

(401) 999-7325

Fax

(401) 400-5876

NPI assigned

Jun 17, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Physical Therapy LLCGroup PAC ID 9436483724, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Peak Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Cumberland, RI
  • NPI 1841853132

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1992548093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY STE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641423",
            "telephone_number": "401-999-7325",
            "fax_number": "401-400-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY STE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641423",
            "telephone_number": "401-999-7325",
            "fax_number": "401-400-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00819-G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazlyn Mitchell
• Tiyeisha Molina, CG,HHA,MH,BH
• Emilio James Monti Jr., MD
• Jennifer Mood
• Jennifer Moore
• Amanda Nicole Morry
• Mount St. Rita Health Centre
• Dianne Lynn Moynihan, LICSW
• Msa Chapel Hill Operating, LLC
• Ashley Marie Munoz

• Physical Therapist in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.