Donna Carlisle Moreno, LPTA
Physical Therapy Assistant in Irondale, AL. Individual provider (NPI-1).
NPI number1376887802
StatusActive
Last updated in NPPESNov 21, 2012
Details
- NPI
- 1376887802
- Entity type
- Individual (NPI-1)
- Name
- Donna Carlisle Moreno
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2012
- Last updated
- Nov 21, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA585 | AL | Yes |
Practice location
1313 Lawrence StIrondale, AL 35210-1401
Phone 205-613-6570
Mailing address
1313 Lawrence StIrondale, AL 35210-1401
Phone 205-613-6570
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Irondale, AL
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All 29 Physical Therapy Assistant providers in Irondale · All 257 providers in Irondale
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