Milton Theodore Morter III, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038.013346 Issued in IL

Practice address

2250 Reed Station Pkwy Ste 204
Carbondale, IL 62901-8104

Phone

(618) 519-9445

NPI assigned

Sep 4, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Recoveruscenters-Carbondale LLC

  • Addiction Medicine (Family Medicine) Physician
  • Carbondale, IL
  • NPI 1831748573

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1003465824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564556",
            "telephone_number": "479-631-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 REED STATION PKWY STE 204",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629018104",
            "telephone_number": "618-519-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTER",
        "first_name": "MILTON",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.013346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.recoveruscenters.com",
            "affiliation": "N",
            "address_1": "2250 Reed Station Pkwy Ste 204",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629018104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marci I Moore-Connelley, M.D.
• Brandy Moore
• Christopher C Moore, D.P.M.
• Diana B Moreland, PA-C
• Beth A Morrison, LCPC
• Samantha Ann Moskoff
• Chandrasekhar Reddy Motkar, MD
• Radbod J Movassagh, MD
• Glenda Dale Moye, R.N.
• Lindsay R Mueller, PTA

• Rehabilitation Chiropractor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.