Active NPI
Jonathan Charles Morris, PT
- Physical Therapist
- Jackson, KY
National Provider Identifier
1265784045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004336
- Practice address
- 695 Ky Hwy 15 N,
Ste 3
Jackson, KY 41339 - Phone
- (606) 666-9243
- Fax
- (606) 666-9220
- NPI assigned
- Oct 4, 2012
- Last updated
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 004336 | KY | Primary |
Addresses
Primary practice location
695 Ky Hwy 15 N,
Ste 3
Jackson, KY 41339
Mailing address
P.O. Box 803
Jackson, KY 41339
Phone (606) 666-9293
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004336 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamco of Ky. Inc. | Physical Therapist | Past | Accepting new patients |
| Watts Healthcare Solutions PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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 Jackson Physical Therapy
- Physical Therapist
- Jackson, KY
- NPI 1730703729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1265784045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 803",
"city": "JACKSON",
"state": "KY",
"postal_code": "41339",
"telephone_number": "606-666-9293",
"fax_number": "606-666-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 KY HWY 15 N,",
"address_2": "STE 3",
"city": "JACKSON",
"state": "KY",
"postal_code": "41339",
"telephone_number": "606-666-9243",
"fax_number": "606-666-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JONATHAN",
"middle_name": "CHARLES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.