Active NPI
Jennifer Amy Morris, PT
- Physical Therapist
- Stought, WI
National Provider Identifier
1003889742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6124
- Practice address
- 900 Ridge Street
Stought, WI 53589 - Phone
- (608) 877-3425
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6124 | WI | Primary |
Addresses
Primary practice location
900 Ridge Street
Stought, WI 53589
Mailing address
900 Ridge Street
Stought, WI 53589
Phone (608) 877-3425
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6124 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1003889742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RIDGE STREET",
"city": "STOUGHT",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-877-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RIDGE STREET",
"city": "STOUGHT",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-877-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JENNIFER",
"middle_name": "AMY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.