Active NPI
Connor R Moran, DPT
- Physical Therapist
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL0019745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT303606 | CA | MD | Physical Therapist |
| PTL0019745 | CO | MD | Physical Therapist |
| PT017968 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Cal Physical Therapy PC | Current | Accepting new patients | |
| Shasta Health Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Ohio Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Physical Therapist | Current | 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Physical Therapist
-
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1063292241
Physical Therapist
-
- Physical Therapist
- Columbus, OH
- NPI 1285244996
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Redwood City, CA
- NPI 1780347328
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Thornton, CO
- NPI 1982654190
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Aurora, CO
- NPI 1881663490
Physical Therapist
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.