Organization Active NPI

Phil Mor Fit

  • Sports Medicine (Family Medicine) Physician
  • Windsor Mill, MD
National Provider Identifier
1124552302
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
PHIL MOR FIT
Practice address
1718 Belmont Ave Ste C-D
Windsor Mill, MD 21244-2552
Phone
(201) 736-4811
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mr. Phillip Michael Morgan, M.S. PSYD CANDIDATENPI 1821502709
Title
Owner
Phone
(201) 736-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

1718 Belmont Ave Ste C-D
Windsor Mill, MD 21244-2552

Mailing address

1718 Belmont Ave Ste C-D
Windsor Mill MD, MD 21244-2552
Phone (201) 736-4811

National Provider Directory

National Provider Directory

Locations

1718 Belmont Ave
Ste C
Windsor Mill, MD 21244
Phone (201) 736-4811

1718 Belmont Ave
Ste Cd
Windsor Mill, MD 21244
Phone (201) 736-4811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1124552302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 BELMONT AVE STE C-D",
            "city": "WINDSOR MILL MD",
            "state": "MD",
            "postal_code": "212442552",
            "telephone_number": "201-736-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 BELMONT AVE STE C-D",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442552",
            "telephone_number": "201-736-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL MOR FIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-736-4811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. PSYD CANDIDATE"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.