Derek Jr Morgan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8729A Issued in AZ

Practice address

11340 W Bell Rd Ste a-101
Surprise, AZ 85378-9342

Phone

(623) 226-6644

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1154182764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 N NAEGEL DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE A-101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789342",
            "telephone_number": "623-226-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DEREK JR",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8729A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Moore
• Sonia Morais
• Darla Rubio Morales, PA-C
• Rosanne Wentworth Moran
• Deana Morgan, LPC
• Stacy Morgan, MAPC, LAC
• Philip Morin, LMT, EMT
• Morningstar Healthcare LLC (Senior Helpers)
• Makayla Rose Morra
• Morris Medical Services, PLLC (Arizona Mobile Health)

• Physical Therapy Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.