Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lanie R Moreno, PT, DPT

Individual provider Physical Therapist · NPI 1205110186

Mrs. Lanie R Moreno, PT, DPT is a Physical Therapist in Shorewood, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

850 Brookforest Ave Unit L
Shorewood, IL 60404
Phone: (815) 773-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Essington Rd, Joliet, IL 60435-4912 — (815) 220-5642

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018759 (IL)
Physical Therapist Taxonomy 225100000X · Licence 37562 (CA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1205110186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 10, 2011
Last updated in NPPESOctober 16, 2018

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