Active NPI
Patrick Richard Moran, DPT
- Physical Therapist
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049011-01
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07832520 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049011 | NY | MD | Pharmacist |
| 049011-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | 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 | Current | Accepting new patients |
| Buffalo Physical Therapy & Sports Rehabilitation, PC | Physical Therapist | Current | 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
- 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.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Physical Therapy Clinic/Center
- Williamsville, NY
- NPI 1952401408
Physical Therapist
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1831196757
Physical Therapist
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
-
dba Kenmore Mercy Professional Services
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
- Rehabilitation Hospital Unit
- Buffalo, NY
- NPI 1659310605
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
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.