Individual provider Active NPI

Dan Morlan, P.T.

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1306920921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4568 Issued in OR
Practice address
18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216
Phone
(503) 639-2118
Fax
(503) 639-7688
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4568 OR Primary

Addresses

Primary practice location

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216

Mailing address

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216
Phone (503) 639-2118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000595 OR Practitioner - Physical Therapist in Private Practice 2264595412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Edge Physical Therapy and Sports Medicine P.C.Group PAC ID 7113080714, 10 clinicians

Practice addresses (Care Compare)

2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone (503) 387-5449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4568ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Edge Physical Therapy & Sports Medicine P.C. CurrentSince Dec 19, 2008 Accepting new patients
Walton Physical Therapy & Sports Medicine Inc Physical Therapist PastSince Apr 12, 2004 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist PastSince Sep 23, 2018 Accepting new patients

Locations

2020 8th Ave
Ste D
West Linn, OR 97068
Phone (503) 387-5449

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306920921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORLAN",
        "first_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.