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

Mayck A Calle Moran

Individual provider Physical Therapist · NPI 1881559250

Mayck A Calle Moran is a Physical Therapist in Private Practice in Rutherford, New Jersey. Graduated from Rutgers New Jersey Medical School in 2026. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

301 Route 17
Rutherford, NJ 07070-2575
Phone: (201) 460-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NJ)

Record details

NPI number1881559250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2026 (0 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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