Individual provider Active NPI

Pamela Rae Morrison, M.S.P.T.

  • Orthopedic Physical Therapist
  • Lake Forest, IL
National Provider Identifier
1427043959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
500 N Western Ave
#202
Lake Forest, IL 60045-1954
Phone
(847) 234-1656
NPI assigned
Sep 12, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X IL Primary

Addresses

Primary practice location

500 N Western Ave
#202
Lake Forest, IL 60045-1954

Mailing address

500 N Western Ave
#202
Lake Forest, IL 60045-1954
Phone (847) 234-1656

Other identifiers 1

IdentifierTypeStateIssuer
4983032OtherILBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000249 IL Practitioner - Physical Therapist in Private Practice 2567427735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 N Western Ave
Lake Forest, IL 60045-1955
Phone (847) 234-1656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Physical Therapy LLC Orthopedic CurrentSince Feb 1, 1990 Accepting new patients

Locations

500 N Western Ave
Lake Forest, IL 60045
Phone (847) 234-1656

500 N Western Ave
Ste 200
Lake Forest, IL 60045

500 N Western Ave
Ste 202
Lake Forest, IL 60045
Phone (847) 234-1656

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427043959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WESTERN AVE",
            "address_2": "#202",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451954",
            "telephone_number": "847-234-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WESTERN AVE",
            "address_2": "#202",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451954",
            "telephone_number": "847-234-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "PAMELA",
        "middle_name": "RAE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4983032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.