Provider Demographics
NPI:1487023404
Name:MORANO PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:MORANO PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MORANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-644-8090
Mailing Address - Street 1:841 COUNTY ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:EAST CHATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12060-3022
Mailing Address - Country:US
Mailing Address - Phone:877-644-8090
Mailing Address - Fax:646-839-2598
Practice Address - Street 1:841 COUNTY ROUTE 5
Practice Address - Street 2:
Practice Address - City:EAST CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12060-3022
Practice Address - Country:US
Practice Address - Phone:877-644-8090
Practice Address - Fax:646-839-2598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty