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

Dr. Mariana Daniela Moise, DPT

Individual provider Physical Therapist · NPI 1912030941

Dr. Mariana Daniela Moise, DPT is a Physical Therapist in Private Practice in Park Ridge, Illinois. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2500 Windsor Mall Apt 3E
Park Ridge, IL 60068-3639
Phone: (646) 400-4764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.019485 (IL)
Physical Therapist Taxonomy 225100000X · Licence 028911-1 (NY)

Record details

NPI number1912030941
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing address2500 Windsor Mall Apt 3e, Park Ridge, IL 60068-3639

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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