Active NPI
Vincent John Morgan, PT,DPT,ATC
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1376912048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11416PT
- Practice address
- 3165 S Alma School Rd Suite 30
Chandler, AZ 85248-4426 - Phone
- (480) 281-0414
- Fax
- (480) 885-1786
- NPI assigned
- Sep 23, 2015
- 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 Therapist | 225100000X | 11416PT | AZ | Primary |
Addresses
Primary practice location
3165 S Alma School Rd Suite 30
Chandler, AZ 85248-4426
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4360 E Brown Rd
Suite 111
Mesa, AZ 85205-4084
Phone (480) 248-7132
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416PT | AZ | MD | Physical Therapist |
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": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1376912048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3165 S ALMA SCHOOL RD SUITE 30",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484426",
"telephone_number": "480-281-0414",
"fax_number": "480-885-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "VINCENT",
"middle_name": "JOHN",
"credential": "PT,DPT,ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11416PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.