Individual provider Active NPI

Lacey Renee Morris, PT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1447674320
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009607A Issued in IN
Practice address
14527 W Sheridan St
Goodyear, AZ 85395-2028
Phone
(307) 254-1895
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 05009607A IN Primary

Addresses

Primary practice location

14527 W Sheridan St
Goodyear, AZ 85395-2028

Mailing address

14527 W Sheridan St
Goodyear, AZ 85395-2028
Phone (072) 541-8953

Other practice location 1

1626 N Litchfield Rd Ste 310
Goodyear, AZ 85395-1397
Phone (623) 935-0734

Other practice location 2

4001 Wabash Ave
Terre Haute, IN 47803-1647
Phone (812) 238-7172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002804 AZ Practitioner - Physical Therapist in Private Practice 6709262603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05009607AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Feb 9, 2024 Accepting new patients
Solitude Physical Therapy and Wellness LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1447674320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 W SHERIDAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952028",
            "telephone_number": "072-541-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 W SHERIDAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952028",
            "telephone_number": "307-254-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1626 N Litchfield Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951397",
            "country_code": "US",
            "telephone_number": "623-935-0734",
            "fax_number": "623-935-0934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478031647",
            "country_code": "US",
            "telephone_number": "812-238-7172",
            "fax_number": "812-232-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "LACEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.