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

Individual provider Physical Therapist · NPI 1467339663

Mariana Moreno is a Physical Therapist in Private Practice in Columbia, Mississippi. Qualified in 2025, 1 year ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025
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Practice location Address checks out

1215 Highway 98 Byp
Columbia, MS 39429-3702
Phone: (601) 444-5050
Fax: (601) 444-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 122 98 Place Blvd, Hattiesburg, MS 39402-8676 — (601) 268-0208
  • 1044 Highway 42, Petal, MS 39465-2671 — (601) 544-0500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8056 (MS)

Record details

NPI number1467339663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address42465 Highway 195, Haleyville, AL 35565-7052

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Encore Rehabilitation, Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia