Active NPI
Grant Morin
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1326791328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798 - Phone
- (719) 344-9497
- Fax
- (719) 358-6042
- NPI assigned
- Jan 31, 2022
- 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 | Primary |
Addresses
Primary practice location
1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798
Mailing address
5588 Cross Creek Dr
Colorado Springs, CO 80924-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Colorado School of Medicine, Aurora, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Medical Ctr PT
Suite 180
Colorado Springs, CO 80907-5798
Phone (719) 344-9497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phenix Therapies, LLC | Single Specialty | Current | Accepting new patients |
Locations
1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497
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": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1326791328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5588 CROSS CREEK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809248100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MEDICAL CENTER PT STE 180",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075798",
"telephone_number": "719-344-9497",
"fax_number": "719-358-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "GRANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-31",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.