Active NPI
Mary-Grace Morales, PT, DPT
- Physical Therapist
- Newnan, GA
National Provider Identifier
1306480165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012146
- Practice address
- 120 Spring St
Newnan, GA 30263-2824 - Phone
- (912) 722-7168
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- 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 | PT012146 | GA | Primary |
Addresses
Primary practice location
120 Spring St
Newnan, GA 30263-2824
Mailing address
2050 Newnan Crossing Blvd E
Apartment 5101
Newnan, GA 30265
UM
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1306480165",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2050 NEWNAN CROSSING BLVD E",
"address_2": "APARTMENT 5101",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPRING ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302632824",
"telephone_number": "912-722-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "MARY-GRACE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.