Active NPI
Eli Morales
- Physical Therapist
- Logan, UT
National Provider Identifier
1265737027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 289006-2401
- Practice address
- 1523 Braxton PL
Logan, UT 84321-6754 - Phone
- (801) 712-2340
- NPI assigned
- Jan 25, 2011
- Last updated
- Jan 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 289006-2401 | UT | Primary |
Addresses
Primary practice location
1523 Braxton PL
Logan, UT 84321-6754
Mailing address
1523 Braxton PL
Logan, UT 84321-6754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289006-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Dilkon Medical Center | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients |
Locations
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
500 Indiana Ave
Winslow, AZ 86047
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sage Memorial Physicians
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
dba Winslow Indian Health Care Ambulance
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1265737027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 BRAXTON PL",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 BRAXTON PL",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216754",
"telephone_number": "801-712-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ELI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "289006-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.