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

Mrs. Susan Julia Moreno, PTA

Individual provider Physical Therapy Assistant · NPI 1366813057

Mrs. Susan Julia Moreno, PTA is a Physical Therapy Assistant in Bismarck, North Dakota. Licensed in North Dakota. Registered with an NPI since 2015.

Licensed in
ND
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

301 Lorrain Dr
Bismarck, ND 58503-0311
Phone: (701) 255-1084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0379 (ND)

Record details

NPI number1366813057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015

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