Provider Demographics
NPI:1194044685
Name:MORANO REHABILITATION PT HOME SERVICES PLLC
Entity Type:Organization
Organization Name:MORANO REHABILITATION PT HOME SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORANO
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:201-686-5703
Mailing Address - Street 1:49 W PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1962
Mailing Address - Country:US
Mailing Address - Phone:877-644-8090
Mailing Address - Fax:201-624-7012
Practice Address - Street 1:COUNTY ROUTE 5
Practice Address - Street 2:841
Practice Address - City:EAST CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12060-3022
Practice Address - Country:US
Practice Address - Phone:201-686-5703
Practice Address - Fax:201-624-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-23
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251G0304X, 225100000X
NY023254-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty