Individual provider Active NPI

Matthew Thomas Morgan, DPT

  • Physical Therapist
  • Mifflintown, PA
National Provider Identifier
1114953296
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017954 Issued in PA
Practice address
2813 Industrial Park Rd
Suite 3
Mifflintown, PA 17059-9078
Phone
(717) 436-6042
Fax
(717) 436-6264
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X DAPT001417 PA
Physical Therapist 225100000X PT017954 PA Primary

Addresses

Primary practice location

2813 Industrial Park Rd
Suite 3
Mifflintown, PA 17059-9078

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 1

IdentifierTypeStateIssuer
1015418120001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000375 PA Practitioner - Physical Therapist in Private Practice 0648211623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

100 1St St
Millersburg, PA 17061-1501
Phone (717) 692-4834

102 N Baltimore St
Dillsburg, PA 17019-1212
Phone (717) 432-8110

1100 Montour Rd
Loysville, PA 17047-9200
Phone (717) 789-3553

1106 Montour Rd
Loysville, PA 17047-9200
Phone (717) 789-3227

131 JPM Rd
Lewisburg, PA 17837-9309
Phone (570) 523-6115

246 S Main St
Hughesville, PA 17737-1614
Phone (570) 584-5144

2813 Industrial Park Rd
Mifflintown, PA 17059-9078

325 N Enola Rd
Enola, PA 17025-2123
Phone (717) 412-7500

44 Red Hill CT
Newport, PA 17074-8706
Phone (717) 567-3200

4897 State Route 209
Elizabethville, PA 17023-8455
Phone (717) 362-8810

5040 Spring Rd
Shermans Dale, PA 17090-8316
Phone (717) 582-7172

52 Red Hill CT
Newport, PA 17074-8706
Phone (717) 567-3151

689 Yorktown Rd
Lewisberry, PA 17339-9258
Phone (717) 932-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT001417PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Mar 1, 2019 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Mar 1, 2019 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

2813 Industrial Park Rd
Ste 3
Mifflintown, PA 17059
Phone (717) 436-6042

75 Evelyn Dr
Millersburg, PA 17061
Phone (717) 692-4708

Interoperability endpoints

  • Direct secure messaging: mmorgan@direct.cprspt.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1114953296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 INDUSTRIAL PARK RD",
            "address_2": "SUITE 3",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170599078",
            "telephone_number": "717-436-6042",
            "fax_number": "717-436-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT001417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015418120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.