Active NPI
Morgan Jackson, PT, DPT
- Physical Therapist
- Arlington, TN
National Provider Identifier
1093379968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11690
- Practice address
- 9263 Osborn Rd
Arlington, TN 38002-5922 - Phone
- (901) 496-1057
- NPI assigned
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 11690 | TN | Primary |
Addresses
Primary practice location
9263 Osborn Rd
Arlington, TN 38002-5922
Mailing address
9930 Metcalf Ave
Overland Park, KS 66212-1653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11690 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courageous Kids, LLC | Past | Accepting new patients | |
| Kids Unlimited Learning Academy | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Arlington, TN
- NPI 1952837288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1093379968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9930 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 OSBORN RD",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "380025922",
"telephone_number": "901-496-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MORGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.