Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brittany Shawn Moreno, PTDPT

Individual provider Orthopedic Physical Therapist · NPI 1720715659

Brittany Shawn Moreno, PTDPT is a Physical Therapist in Private Practice in Maple Grove, Minnesota. Qualified in 2022, 4 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022

Practice location Address checks out

15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone: (952) 993-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 12623 (MN)

Record details

NPI number1720715659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maple Grove