Individual provider Active NPI

Evera J Morgan, PTA

  • Physical Therapy Assistant
  • Thousand Oaks, CA
National Provider Identifier
1114670767
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA48322 Issued in CA
Practice address
195 E Hillcrest Dr Ste 114
Thousand Oaks, CA 91360-5895
Phone
(818) 318-2430
Fax
(877) 287-1195
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA48322 CA Primary

Addresses

Primary practice location

195 E Hillcrest Dr Ste 114
Thousand Oaks, CA 91360-5895

Mailing address

15152 Campus Park Dr Apt a
Moorpark, CA 93021-1516
Phone (208) 329-1241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejmorgan@risepacificphysicaltherapy.com Direct

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

LicenseStateTypeSpecialty
PTA48322CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Pacific Physical Therapy and Sports Medicine CurrentSince Feb 6, 2022 Accepting new patients

Locations

195 E Hillcrest Dr
Ste 114
Thousand Oaks, CA 91360
Phone (818) 318-2430

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1114670767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15152 CAMPUS PARK DR APT A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211516",
            "telephone_number": "208-329-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E HILLCREST DR STE 114",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605895",
            "telephone_number": "818-318-2430",
            "fax_number": "877-287-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "EVERA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejmorgan@risepacificphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "195 E Hillcrest Dr Ste 114",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.