Individual provider Active NPI

Timothy Morgan, D.C.

  • Chiropractor
  • Wellesley, MA
National Provider Identifier
1013066158
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1926 Issued in MA
Practice address
47A River St
Wellesley, MA 02481-2034
Phone
(781) 772-2032
Fax
(781) 489-5314
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1926 MA Primary

Addresses

Primary practice location

47A River St
Wellesley, MA 02481-2034

Mailing address

47A River St
Wellesley, MA 02481-2034
Phone (781) 772-2032

Other identifiers 5

IdentifierTypeStateIssuer
411728OtherMATUFTS
0017476OtherMANEIGHBORHOOD HEALTH
615040OtherMAACN
351417OtherMAHARVARD PILGRIM
Y36652OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141030001148 MA Practitioner - Chiropractic 6002714557 Practice locations: Wellesley, MA
I20230213000144 VT Practitioner - Chiropractic 6002714557 Practice locations: West Glover, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1375 S Albany Rd
West Glover, VT 05875-9546
Phone (508) 740-6526

Hospital & facility affiliations

  • Copley Hospital Hospital, Morrisville, VT, CCN 471305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1926MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marchese Sports Therapy Chiropractor Past Accepting new patients
Baystate Health Services Chiropractor PastSince Sep 1, 1999 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1013066158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47A RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812034",
            "telephone_number": "781-772-2032",
            "fax_number": "781-489-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47A RIVER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812034",
            "telephone_number": "781-772-2032",
            "fax_number": "781-489-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "411728",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0017476",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "615040",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351417",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.