Individual provider Active NPI

Annmarie Mello Morris, PTA

  • Physical Therapy Assistant
  • Aberdeen, NC
National Provider Identifier
1245690205
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3074 Issued in NC
Practice address
200 N Poplar St
Aberdeen, NC 28315-2812
Phone
(910) 944-1169
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3074 NC Primary

Addresses

Primary practice location

200 N Poplar St
Aberdeen, NC 28315-2812

Mailing address

225 Heather LN
Southern Pines, NC 28387-7332
Phone (910) 528-4981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A3074NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Physical Therapy and Wellness, LLC PastSince Nov 1, 2010 Accepting new patients

Organizations & group practices 1

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1245690205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HEATHER LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877332",
            "telephone_number": "910-528-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N POPLAR ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152812",
            "telephone_number": "910-944-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO MORRIS",
        "first_name": "ANNMARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A3074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.