Jordan Dale Morton, DPT, PT

Individual provider Active NPI Physical Therapist · Osage City, KS

NPI 1083280762 · NPPES record last updated Jun 2, 2021

Key facts

NPI
1083280762
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
11-06725 (KS)
Practice address
104 W Market St Ste B
Osage City, KS 66523-1295
Phone
(785) 528-1123
Fax
(785) 528-4123
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt Creek Rehab LLC (3 clinicians)

Practice addresses (Care Compare)

104 W Market St
Suite B
Osage City, KS 66523-1295
Phone (785) 528-1123

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210604000142 KS Practitioner - Physical Therapist in Private Practice 6800295221 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Creek Rehab LLC Physical Therapist Current
since Jun 3, 2021
Accepting new patients

Locations

104 W Market St
Ste B
Osage City, KS 66523
Phone (785) 528-1123

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06725 KS Yes

Addresses

Primary practice location

104 W Market St Ste B
Osage City, KS 66523-1295

Mailing address

104 W Market St Ste B
Osage City, KS 66523-1295
Phone (785) 528-1123

Other providers in Osage City, KS

All providers in Osage City, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.