Active NPI
Corrine E Morris, PT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1386716835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10764
- Practice address
- 2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366 - Phone
- (303) 247-0028
- Fax
- (303) 247-0826
- NPI assigned
- Nov 13, 2006
- Last updated
- May 17, 2010
- 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 Therapist | 225100000X | 10764 | CO | Primary |
Addresses
Primary practice location
2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366
Mailing address
2935 Baseline Rd
Suite 102
Boulder, CO 80303-2366
Phone (303) 247-0028
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06559394 | Other | BLUE CROSS | |
| 362877 | Other | MVP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10764 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VTPT, Inc. | Physical Therapist | Past | Accepting new patients |
| Poulin Performance, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Poulin Performance and Rehabilitation Center
- Physical Therapist
- South Burlington, VT
- NPI 1174553283
-
dba Poulin & Associates Physical Therapy
- Physical Therapist
- Waitsfield, VT
- NPI 1114188356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1386716835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 BASELINE RD",
"address_2": "SUITE 102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032366",
"telephone_number": "303-247-0028",
"fax_number": "303-247-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 BASELINE RD",
"address_2": "SUITE 102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032366",
"telephone_number": "303-247-0028",
"fax_number": "303-247-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CORRINE",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "06559394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "362877",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.