Individual provider Active NPI

Michele A Morris, PT

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1245202910
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003397 Issued in CT
Practice address
9 Ethan Allen Hwy Ste 2
Ridgefield, CT 06877-6240
Phone
(203) 493-5056
Fax
(203) 493-5078
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 003397 CT Primary

Addresses

Primary practice location

9 Ethan Allen Hwy Ste 2
Ridgefield, CT 06877-6240

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Other identifiers 2

IdentifierTypeStateIssuer
800003397OtherCTBLUE CROSS BLUE SHIELD
Q21521OtherNYEMPIRE BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000727 CT Practitioner - Physical Therapist in Private Practice 2769545227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9 Ethan Allen Hwy
Ridgefield, CT 06877-6239
Phone (203) 493-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003397CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Preferred Therapy Outpatient Services, LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Preferred Therapy Outpatient Services, LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist PastSince Mar 12, 2024 Accepting new patients
Wilton Physical Therapy, LLC PastSince Mar 19, 2007 Accepting new patients

Locations

15 Park Lawn Dr
Bethel, CT 06801
Phone (203) 790-8520

3 Farm Rd
New Canaan, CT 06840
Phone (203) 594-5200

9 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 493-5056

9 Ethan Allen Hwy
Ste 2
Ridgefield, CT 06877
Phone (203) 493-5056

1350 Sullivan Ave
South Windsor, CT 06074
Phone (860) 644-6525

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 7

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1245202910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ETHAN ALLEN HWY STE 2",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776240",
            "telephone_number": "203-493-5056",
            "fax_number": "203-493-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "800003397",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "Q21521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.