Laura Michelle Morales, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2147670 Issued in TX

Practice address

202 S Hartford St
Breckenridge, TX 76424-4713

Phone

(254) 559-1864

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stephens Memorial Hospital

  • General Acute Care Hospital
  • Breckenridge, TX
  • NPI 1831196005
  NPD (past)

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1124678032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GANDY ST",
            "city": "LIPAN",
            "state": "TX",
            "postal_code": "764622412",
            "telephone_number": "817-776-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244713",
            "telephone_number": "254-559-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2147670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lmm.pink@yahoo.com",
            "affiliation": "N",
            "address_1": "202 S Hartford St",
            "city": "Breckenridge",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764244713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Proctor MD PA
• Rebecca Lynn McIntire, APRN, FNP
• Med Care Medical Supply of No.TX Inc
• Barbara Monserrat Medina-Palacios, PA
• Mineral Wells Medical Supply, Inc (Breckenridge Medical Supply)
• Vy N Nguyen
• Keely Marie Nickell
• Kristie Oyler, P.T.
• Denise Marie Palmer, LPC
• Seol Park

• Physical Therapy Assistant in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.