Individual provider Active NPI

Julia Morgan

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1366095796
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1309056 Issued in TX
Practice address
12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606
Phone
(512) 996-0441
Fax
(512) 996-0442
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 1309056 TX Primary

Addresses

Primary practice location

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606

Mailing address

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317002026 TX Practitioner - Physical Therapist in Private Practice 4486082823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1309056TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Performance Physical Therapy, PC Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Past Accepting new patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Past Accepting new patients

Locations

12617 Ridgeline Blvd
Bldg C105
Cedar Park, TX 78613

Organizations & group practices 3

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1366095796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606",
            "telephone_number": "512-996-0441",
            "fax_number": "512-996-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1309056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.