Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Moran, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1639469224

Jonathan Moran, PT is a Physical Medicine & Rehabilitation Physician in Ridgeland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT4488 (MS)

Record details

NPI number1639469224
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 15, 2011
Last updated in NPPESApril 15, 2011
Mailing address15093 Dobson Rd, Biloxi, MS 39532-9130

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