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Contact Information

MARIA I MORENO, PT
410 SAYBROOK RD STE 100
MIDDLETOWN, CT06457-4780
 Phone: 860-638-3820
 Fax: 860-638-3840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARIA I MORENO · (Female)

NPI Number 1053455337
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 02/19/2007
Last updated 05/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 4956
  • CT Medicaid 004175114
  • CT Other 3372505 AETNA
  • CT Other 080004956CT03 ANTHEM BCBS
  • CT Other 114175114-00 BLUE CARE FAMILY PLAN
  • CT Other 712712 CONNECTICARE
  • CT Other OV1691 HEALTHNET
  • CT Other A667399 OXFORD
  • CT Other 64-04254 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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