Individual provider Active NPI

Ellen Morton, ELLEN MORTON

  • Physical Therapist
  • Wausau, WI
National Provider Identifier
1326104852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3906-024 Issued in WI
Practice address
315 6TH St
Wausau, WI 54403-5424
Phone
(715) 848-3226
Fax
(715) 848-3226
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

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 3906-024 WI Primary

Addresses

Primary practice location

315 6TH St
Wausau, WI 54403-5424

Mailing address

315 6TH St
Wausau, WI 54403-5424
Phone (715) 848-3226

Other names 1

  • Ellen Morton Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000545 WI Practitioner - Physical Therapist in Private Practice 5092707349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3906-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phyt Rehab of Wisconsin, Inc. Physical Therapist CurrentSince Apr 28, 2022 Accepting new patients

Locations

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

911 Jackson St
Ste 101
Wausau, WI 54403
Phone (914) 837-6538

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326104852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 6TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035424",
            "telephone_number": "715-848-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 6TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035424",
            "telephone_number": "715-848-3226",
            "fax_number": "715-848-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "ELLEN MORTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3906-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MORTON",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wausau, WI

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.