Individual provider Active NPI

Morgan Tyson

  • Physical Therapist
  • Mount Laurel, NJ
National Provider Identifier
1154936144
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01938800 Issued in NJ
Practice address
127 Ark Rd
Mount Laurel, NJ 08054-6302
Phone
(856) 608-7733
Fax
(856) 608-7750
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01938800 NJ Primary

Addresses

Primary practice location

127 Ark Rd
Mount Laurel, NJ 08054-6302

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

2 Hanley Parke
Medford, NJ 08055-3364
Phone (856) 628-6047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116000139 NJ Practitioner - Physical Therapist in Private Practice 7810307204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302
Phone (856) 608-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Nov 11, 2020 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Nov 11, 2020 Accepting new patients
The Physical Therapy Company LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

127 Ark Rd
Mount Laurel, NJ 08054
Phone (856) 359-2181

127 Ark Rd
Ste 23
Mount Laurel, NJ 08054
Phone (609) 714-7730

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 3

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1154936144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARK RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546302",
            "telephone_number": "856-608-7733",
            "fax_number": "856-608-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hanley Parke",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080553364",
            "country_code": "US",
            "telephone_number": "856-628-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01938800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.