Individual provider Active NPI

Gary Patrick Morgan, BS, MPS, PT

  • Physical Therapist
  • Cicero, NY
National Provider Identifier
1003901984
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20476 Issued in NY
Practice address
5740 S Bay Rd
Cicero, NY 13039-8652
Phone
(315) 458-5442
Fax
(315) 458-5490
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20476 NY Primary

Addresses

Primary practice location

5740 S Bay Rd
Cicero, NY 13039-8652

Mailing address

5740 S Bay Rd
PO Box 1488
Cicero, NY 13039-8652
Phone (315) 458-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040409000485 NY Practitioner - Physical Therapist in Private Practice 8729072194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morgan Physical Therapy PLLCGroup PAC ID 4284709031, 2 clinicians

Practice addresses (Care Compare)

5740 S Bay Rd
Cicero, NY 13039-8652
Phone (315) 458-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
20476NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Physical Therapy PLLC CurrentSince Jul 31, 2008 Accepting new patients

Locations

5740 S Bay Rd
Cicero, NY 13039
Phone (315) 458-5442

5711 S Bay Rd
Cicero, NY 13039
Phone (315) 458-5442

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1003901984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 S BAY RD",
            "address_2": "PO BOX 1488",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398652",
            "telephone_number": "315-458-5442",
            "fax_number": "315-458-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 S BAY RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398652",
            "telephone_number": "315-458-5442",
            "fax_number": "315-458-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GARY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "BS, MPS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.

Verify at the official NPI Registry.