Active NPI
Connie Kristina Morgan, MSPT
- Physical Therapist
- Walla Walla, WA
National Provider Identifier
1114192598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8315
- Practice address
- 1025 S 2ND Ave
Walla Walla, WA 99362-4116 - Phone
- (509) 527-8272
- Fax
- (509) 527-8181
- NPI assigned
- Apr 25, 2008
- 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 | 8315 | WA | Primary |
Addresses
Primary practice location
1025 S 2ND Ave
Walla Walla, WA 99362-4116
Mailing address
1025 S 2ND Ave
PO Box 1398
Walla Walla, WA 99362-4116
Phone (509) 527-8272
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 |
|---|---|---|---|
| 8315 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1114192598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 2ND AVE",
"address_2": "PO BOX 1398",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624116",
"telephone_number": "509-527-8272",
"fax_number": "509-527-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624116",
"telephone_number": "509-527-8272",
"fax_number": "509-527-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CONNIE",
"middle_name": "KRISTINA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "8315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.