Active NPI
Lacey Renee Morris, PT
- Physical Therapist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009607A
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009607A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Solitude Physical Therapy and Wellness LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Goodyear, AZ
- NPI 1003692393
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
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.