Individual provider Active NPI

Patrick Richard Moran, DPT

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1710605860
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049011-01 Issued in NY
Practice address
192 Park Club LN Ste 110
Williamsville, NY 14221-5270
Phone
(716) 632-9200
Fax
(716) 632-1730
NPI assigned
Aug 16, 2022
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049011-01 NY Primary

Addresses

Primary practice location

192 Park Club LN Ste 110
Williamsville, NY 14221-5270

Mailing address

144 Genesee St
Buffalo, NY 14203-1560
Phone (716) 206-1510

Other identifiers 1

IdentifierTypeStateIssuer
07832520MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000117 NY Practitioner - Physical Therapist in Private Practice 4385012376 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Suite 110
Williamsville, NY 14221-5270
Phone (716) 632-9200

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049011NYMDPharmacist
049011-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Dec 11, 2023 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Jun 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jun 1, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jun 1, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Jun 1, 2025 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jun 1, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jun 1, 2025 Accepting new patients
Kenmore Mercy Hospital CurrentSince Jun 1, 2025 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Excelsior Orthopaedics LLP Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Buffalo Physical Therapy & Sports Rehabilitation, PC Physical Therapist CurrentSince Oct 15, 2022 Accepting new patients

Locations

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

192 Park Club Ln
Williamsville, NY 14221
Phone (716) 422-0010

192 Park Club Ln
Ste 110
Williamsville, NY 14221
Phone (716) 632-9200

Interoperability endpoints

  • Direct secure messaging: pmoran@excelsiorortho.medentdirect.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1710605860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031560",
            "telephone_number": "716-206-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LN STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215270",
            "telephone_number": "716-632-9200",
            "fax_number": "716-632-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "PATRICK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049011-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07832520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.