Active NPI
Matthew Morley I, PT
- Physical Therapist
- Munster, IN
National Provider Identifier
1003047192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010651A
- Practice address
- 7967 Calumet Ave
Munster, IN 46321-1215 - Phone
- (219) 516-0092
- NPI assigned
- Aug 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-016986 | IL | |
| Physical Therapist | 225100000X | 05010651A | IN | Primary |
Addresses
Primary practice location
7967 Calumet Ave
Munster, IN 46321-1215
Mailing address
1484 Grunewald PL
Dyer, IN 46311-2377
Phone (219) 678-0573
Other practice location 1
1484 Grunewald Pl
Dyer, IN 46311-2377
Phone (219) 678-0573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01054941 | Other | IN | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab Indiana LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120530000397 | IN | Practitioner - Physical Therapist in Private Practice | 4789854662 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1484 Grunewald PL
Dyer, IN 46311-2377
Phone (219) 678-0573
3129 Hoffman CT
Dyer, IN 46311-1470
Phone (219) 678-0573
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-016986 | IL | MD | Physical Therapist |
| 05010651A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Therapy Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab Indiana LLC | Physical Therapist | Current | Accepting new patients |
| Goodlife Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
14901 Carey Rd
Carmel, IN 46033
Organizations & group practices 4
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.
-
- Physical Therapist
- Orland Park, IL
- NPI 1053557264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1003047192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1484 GRUNEWALD PL",
"city": "DYER",
"state": "IN",
"postal_code": "463112377",
"telephone_number": "219-678-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7967 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-516-0092"
}
],
"practiceLocations": [
{
"address_1": "1484 Grunewald Pl",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "463112377",
"country_code": "US",
"telephone_number": "219-678-0573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORLEY",
"first_name": "MATTHEW",
"name_suffix": "I",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016986",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010651A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01054941",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab Indiana LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "14901 Carey Rd",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460336000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.