Active NPI
William Morales, PTA
- Skilled Nursing Facility
- Imperial, NE
National Provider Identifier
1083946008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- CERTIFICATE #929
- Practice address
- 340 E 12TH St
Imperial, NE 69033-3108 - Phone
- (308) 882-0023
- NPI assigned
- Feb 1, 2010
- Last updated
- Feb 1, 2010
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CERTIFICATE #929 | NE | Primary |
Addresses
Primary practice location
340 E 12TH St
Imperial, NE 69033-3108
Mailing address
340 E 12TH St
Imperial, NE 69033
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 |
|---|---|---|---|
| CERTIFICATE #929 | NE | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1083946008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E 12TH ST",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "69033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 12TH ST",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690333108",
"telephone_number": "308-882-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "CERTIFICATE #929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Imperial, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.