Active NPI
Kenneth Deran Morgan, LPTA
- Physical Therapy Assistant
- Denver, CO
National Provider Identifier
1336406412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA4331
- Practice address
- 1720 S Bellaire St
Ste 325
Denver, CO 80222-4304 - Phone
- (866) 801-9492
- Fax
- (866) 239-4719
- NPI assigned
- Apr 13, 2012
- 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 Therapy Assistant | 225200000X | PTA4331 | AL | Primary |
Addresses
Primary practice location
1720 S Bellaire St
Ste 325
Denver, CO 80222-4304
Mailing address
222 Gayle LN
Satsuma, AL 36572-2310
Phone (251) 455-0839
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA4331 | AL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1336406412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 GAYLE LN",
"city": "SATSUMA",
"state": "AL",
"postal_code": "365722310",
"telephone_number": "251-455-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S BELLAIRE ST",
"address_2": "STE 325",
"city": "DENVER",
"state": "CO",
"postal_code": "802224304",
"telephone_number": "866-801-9492",
"fax_number": "866-239-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KENNETH",
"middle_name": "DERAN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA4331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.