Individual provider Active NPI

Timothy Michael Moran, PT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1942192729
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23116 Issued in NC
Practice address
9115 Harris Corners Pkwy Ste 230
Charlotte, NC 28269-3709
Phone
(704) 921-2051
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 P23116 NC Primary

Addresses

Primary practice location

9115 Harris Corners Pkwy Ste 230
Charlotte, NC 28269-3709

Mailing address

1440 Harding PL Apt 107
Charlotte, NC 28204-6502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P23116NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Senior Care Home Health of Charlotte LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

9115 Harris Corners Pkwy
Ste 230
Charlotte, NC 28269
Phone (336) 689-0338

Organizations & group practices 1

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1942192729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HARDING PL APT 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282046502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 HARRIS CORNERS PKWY STE 230",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693709",
            "telephone_number": "704-921-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.