Active NPI
Carol Morley
- Physical Therapy Assistant
- Palm Beach Gardens, FL
National Provider Identifier
1366894917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 19428
- Practice address
- 2401 Pga Blvd Ste 155
Palm Beach Gardens, FL 33410-3516 - Phone
- (561) 249-2958
- NPI assigned
- Jul 7, 2016
- Last updated
- Jul 7, 2016
- Sex
- Female
- 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 | PTA 19428 | FL | Primary |
Addresses
Primary practice location
2401 Pga Blvd Ste 155
Palm Beach Gardens, FL 33410-3516
Mailing address
6002 Tangelo Dr
Fort Pierce, FL 34982-7502
Phone (772) 284-6705
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 |
|---|---|---|---|
| PTA 19428 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1366894917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 TANGELO DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349827502",
"telephone_number": "772-284-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 PGA BLVD STE 155",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103516",
"telephone_number": "561-249-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLEY",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 19428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.