Active NPI
Gwen Renee Morris, MOT, OTR/L
- Specialist
- Alexandria, VA
National Provider Identifier
1003174947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8279
- Practice address
- 6355 Walker LN
Suite 512
Alexandria, VA 22310-3245 - Phone
- (703) 647-3110
- Fax
- (703) 822-9955
- NPI assigned
- Apr 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8279 | NC | Primary |
Addresses
Primary practice location
6355 Walker LN
Suite 512
Alexandria, VA 22310-3245
Mailing address
6355 Walker LN
Suite 512
Alexandria, VA 22310-3245
Phone (703) 647-3110
Other names 1
- Gwen Renee Morgan
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5211 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Hand Specialists, LLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Greensboro, NC
- NPI 1518382357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1003174947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 512",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-647-3110",
"fax_number": "703-822-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 512",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-647-3110",
"fax_number": "703-822-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "GWEN",
"middle_name": "RENEE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-29",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "8279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWEN",
"last_name": "MORGAN",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.