Healthcare Provider Details

I. General information

NPI: 1639085285
Provider Name (Legal Business Name): TORI DENA MOORE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 N RTE 17 STE 110
PARAMUS NJ
07652-2824
US

IV. Provider business mailing address

1502 W TERRACE CIR APT 5
TEANECK NJ
07666-5245
US

V. Phone/Fax

Practice location:
  • Phone: 844-727-0056
  • Fax:
Mailing address:
  • Phone: 732-900-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: