Tyler Ivan Moran

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Practice address

1855 Berks St
Reading, PA 19604-1301

Phone

(610) 914-3223

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Mennonite Home

  dba Tandem Living

  • Physical Therapy Clinic/Center
  • Lancaster, PA
  • NPI 1093053910
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1184401721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 BERKS ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041301",
            "telephone_number": "610-914-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 BERKS ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041301",
            "telephone_number": "610-914-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TYLER",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Montgomery, DPT
• Liliana Moore, LCSW
• Nicole M Moore, RN
• Samuel G Moore, LSW
• Adriana Mora
• Ashley Morgan-McCauley, CRNP
• Kayla Morgan
• Melanie Morgan
• Ania Morris, M.ED
• Wendy Mortimer, MSN, CRNP

• Gerontology Occupational Therapist in Reading, PA
• Providers in Reading, PA by specialty
• Gerontology Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.