Individual provider Active NPI

Adam Dee Morris, PT

  • Physical Therapist
  • Kaysville, UT
National Provider Identifier
1427140342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5969133-2401 Issued in UT
Practice address
47 East Crestwood Rd
Suite 2B
Kaysville, UT 84037-1445
Phone
(801) 444-3440
Fax
(801) 444-3413
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5969133-2401 UT Primary

Addresses

Primary practice location

47 East Crestwood Rd
Suite 2B
Kaysville, UT 84037-1445

Mailing address

47 East Crestwood Rd
Suite 2B
Kaysville, UT 84037-1445
Phone (801) 444-3440

Other identifiers 2

IdentifierTypeStateIssuer
P00388672OtherUTRAILROAD MEDICARE
1427140342MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000869 UT Practitioner - Physical Therapist in Private Practice 0345135000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Crestwood Rd
Suite 2B
Kaysville, UT 84037-1445
Phone (801) 444-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5969133-2401UTMDPhysical Therapist
25620CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Physical Therapy LLC Physical Therapist CurrentSince Feb 15, 2013 Accepting new patients
Forgeron Physical Therapy Physical Therapist Past Accepting new patients
Forgeron Physical Therapy Physical Therapist Past Accepting new patients

Locations

47 Crestwood Rd
Ste 2B
Kaysville, UT 84037
Phone (801) 444-3440

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427140342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EAST CRESTWOOD RD",
            "address_2": "SUITE 2B",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-444-3440",
            "fax_number": "801-444-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 EAST CRESTWOOD RD",
            "address_2": "SUITE 2B",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371445",
            "telephone_number": "801-444-3440",
            "fax_number": "801-444-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ADAM",
        "middle_name": "DEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "5969133-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00388672",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427140342",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.