DENISE MOON (PT) – Physical Therapist, NPI 1770693293

DENISE MOON (PT) is a healthcare provider. based in Hoboken, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 40QA01124500 (NJ). The NPI Number for DENISE MOON (PT) is 1770693293

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DENISE MOON (PT)
NPI
1770693293
Phone
(201) 988-4815
Address
92 GRAND ST APT 2
Enumeration Date
30 August 2006
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4439645656
Graduation Year
2003 (23 years ago)
PAC ID
5092862789
Group Practice PAC ID
9335137363
Professional Enrollment ID
I20170130000139
Address ID
MD207323309CH8420XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

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Provider Addresses for DENISE MOON (PT)

  • 92 GRAND ST APT 2

    HOBOKEN, NJ 070302406

    Phone: (201) 988-4815

    Type: Mailing

  • 501, Fairmount Avenue, East Towson, Towson, Baltimore County, Maryland, 21286, United States

    STE 302

    TOWSON, MD 212865457

    Phone: (410) 927-8768

    Type: Location

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: 2017-01-30

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
I20170130000139IPhysical Therapist In Private PracticeMDTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,12394$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes77572$0
97140Therapy procedure using manual technique, each 15 minutes61879$0
97530Therapy procedure using functional activities60784$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care30139$0
View full utilization report →

Insurance plans in this area (ZIP 07030)

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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: 9335137363View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-MD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMD
-GA
-NC
-MD

Reviews

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Frequently asked questions

What federal number belongs to DENISE MOON (PT)?
The federal identifier for DENISE MOON (PT) is NPI 1770693293.
Is DENISE MOON (PT) active in the national directory?
DENISE MOON (PT)'s public NPI profile is in an active state.
What kind of provider is DENISE MOON (PT)?
The page reflects Physical Therapist for DENISE MOON (PT). Clinical services aligned with this taxonomy classification.
What location shows for DENISE MOON (PT)?
We surface Hoboken, New Jersey for DENISE MOON (PT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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