Active NPI
Brandon Morlett
- Physical Therapist
- El Centro, CA
National Provider Identifier
1043953227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 51751
- Practice address
- 1611 W Main St
El Centro, CA 92243-2212 - Phone
- (760) 337-1144
- NPI assigned
- Apr 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 51751 | CA | Primary |
Addresses
Primary practice location
1611 W Main St
El Centro, CA 92243-2212
Mailing address
917 Vine St
El Centro, CA 92243-3831
Phone (760) 234-9697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96170412D | Other | CA | CALIFORNIA HEALTH AND WELLNESS |
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 |
|---|---|---|---|
| 51751 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1043953227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 VINE ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433831",
"telephone_number": "760-234-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W MAIN ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432212",
"telephone_number": "760-337-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLETT",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "51751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA HEALTH AND WELLNESS",
"identifier": "96170412D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.