National Provider Identifier

Patrick Richard Moran, DPT

Patrick Richard Moran, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 632-9200.

NPI 1710605860Williamsville, NYPhysical Therapist

Profile Overview

NPI
1710605860
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 16, 2022
Last Updated
November 25, 2025

Practice Location

  • 192 Park Club Ln Ste 110
  • Williamsville, NY 14221-5270

Phone: (716) 632-9200

Mailing Address

  • 144 Genesee St
  • Buffalo, NY 14203-1560

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1710605860
Entity Type
Individual
Last Name
Moran
First Name
Patrick
Middle Name
Richard
Name Prefix
Dr.
Credential
DPT
Mailing Street Address
144 Genesee St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1560
Mailing Country
US
Mailing Phone
(716) 206-1510
Practice Street Address
192 Park Club Ln Ste 110
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5270
Practice Country
US
Practice Phone
(716) 632-9200
Practice Fax
(716) 632-1730
Enumeration Date
August 16, 2022
Last Updated
November 25, 2025
Sex
Male
Sole Proprietor
No
Certification Date
November 25, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
07832520 (NY)