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

Lydia Taylor Moran, DPT

Individual provider Physical Therapist · NPI 1932916616

Lydia Taylor Moran, DPT is a Physical Therapist in Private Practice in Fairmont, West Virginia. Graduated from West Virginia University School of Medicine in 2024, 2 years ago. Practices with Country Roads Physical Therapy and Rehabilitation, a 28-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
2
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2600 Middletown Cmns Ste 260
Fairmont, WV 26554-8949
Phone: (304) 816-3169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004782 (WV)

Record details

NPI number1932916616
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Country Roads Physical Therapy And Rehabilitation — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairmont