Individual provider Active NPI

Connor R Moran, DPT

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1700438116
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0019745 Issued in CO
Practice address
25285 Madison Ave Ste 103
Murrieta, CA 92562-8955
Phone
(951) 600-0054
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP008751T OH
Physical Therapist 225100000X PT017968 OH
Physical Therapist 225100000X PT303606 CA
Physical Therapist 225100000X 007689 KY
Physical Therapist 225100000X PTL0019745 CO Primary

Addresses

Primary practice location

25285 Madison Ave Ste 103
Murrieta, CA 92562-8955

Mailing address

268 Windward Way
Richmond, KY 40475-7709
Phone (614) 563-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220607000631 OH Practitioner - Physical Therapist in Private Practice 6103154406 Reassigns benefits to 1 organization
I20230222002141 CA Practitioner - Physical Therapist in Private Practice 6103154406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

540 Ralston Ave
Suite B
Belmont, CA 94002-2866
Phone (650) 363-5668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT303606CAMDPhysical Therapist
PTL0019745COMDPhysical Therapist
PT017968OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC CurrentSince Apr 22, 2025 Accepting new patients
Shasta Health Physical Therapy, P.C. Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Ohio Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 25, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 22, 2025 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

540 Ralston Ave
Ste B
Belmont, CA 94002
Phone (650) 363-5668

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

4200 Regent St
Ste 200
Columbus, OH 43219
Phone (877) 581-2210

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1700438116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 WINDWARD WAY",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757709",
            "telephone_number": "614-563-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25285 MADISON AVE STE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628955",
            "telephone_number": "951-600-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "CONNOR",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "CP008751T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017968",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0019745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.