MRS. MARIA I MORENO (PT) – Physical Therapist, NPI 1053455337

MRS. MARIA I MORENO (PT) is a healthcare provider. based in Middletown, Connecticut. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 4956 (CT). The NPI Number for MRS. MARIA I MORENO (PT) is 1053455337

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIA I MORENO (PT)
NPI
1053455337
Phone
(860) 638-3820
Address
410 SAYBROOK RD STE 100
Enumeration Date
19 February 2007
Last Update Date
6 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606858940
Graduation Year
1990 (36 years ago)
PAC ID
6608055603
Group Practice PAC ID
5193618403
Professional Enrollment ID
I20110124000325
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MARIA I MORENO (PT)

  • 410 SAYBROOK RD STE 100

    MIDDLETOWN, CT 064574780

    Phone: (860) 638-3820

    Fax: (860) 638-3840

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110124000325IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97113Therapy procedure using water pool to exercises, each 15 minutes28123$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193618403View full group profile
NameSpecialtyState
Orthopedic SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Does MRS. MARIA I MORENO (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. MARIA I MORENO (PT) uses 1053455337.
Is MRS. MARIA I MORENO (PT) listed as active for patients and plans?
The listing shows MRS. MARIA I MORENO (PT) as active in the NPI system.
What is MRS. MARIA I MORENO (PT)'s primary classification?
Physical Therapist is the headline specialty for MRS. MARIA I MORENO (PT) here. Clinical services aligned with this taxonomy classification.
Does MRS. MARIA I MORENO (PT) list a practice location?
Patients near Middletown, Connecticut may find MRS. MARIA I MORENO (PT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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