Individual provider Active NPI

Gregory C. Morris, P.T.

  • Physical Therapist
  • Mentor, OH
National Provider Identifier
1043214943
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009305 Issued in OH
Practice address
6000 Heisley Rd
Mentor, OH 44060-1836
Phone
(440) 357-6677
Fax
(440) 357-6681
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 PT009305 OH Primary

Addresses

Primary practice location

6000 Heisley Rd
Mentor, OH 44060-1836

Mailing address

6000 Heisley Rd
Mentor, OH 44060-1836
Phone (440) 357-6677

Other identifiers 1

IdentifierTypeStateIssuer
2479894MedicaidOH

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

LicenseStateTypeSpecialty
PT009305OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc Past Accepting new patients
Piszel Pain Management System LLC PastSince Mar 8, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gmorris38935@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1043214943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601836",
            "telephone_number": "440-357-6677",
            "fax_number": "440-357-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601836",
            "telephone_number": "440-357-6677",
            "fax_number": "440-357-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "GREGORY",
        "middle_name": "C.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2479894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.