Individual provider Active NPI

Shawn Morgan, PT

  • Physical Therapist
  • Tamarac, FL
National Provider Identifier
1487054615
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01569500 Issued in NJ
Practice address
7710 NW 71St CT Ste 210
Tamarac, FL 33321-2932
Phone
(954) 678-4848
NPI assigned
Aug 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 40QA01569500 NJ Primary

Addresses

Primary practice location

7710 NW 71St CT Ste 210
Tamarac, FL 33321-2932

Mailing address

7710 NW 71St CT Ste 210
Tamarac, FL 33321-2932
Phone (954) 678-4848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000035 FL Practitioner - Physical Therapist in Private Practice 9436404803 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phynix Physical Therapy, LLCGroup PAC ID 3577968916, 2 clinicians

Practice addresses (Care Compare)

7710 NW 71St CT
Suite 210
Tamarac, FL 33321-2932
Phone (954) 678-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01569500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylife Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Sep 27, 2021 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Jan 24, 2022 Accepting new patients
Phynix Physical Therapy LLC Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Past Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

7654 N Nob Hill Rd
Tamarac, FL 33321
Phone (954) 597-6666

7710 NW 71st Ct
Ste 210
Tamarac, FL 33321
Phone (954) 678-4848

6855 NW 70th Ave
Tamarac, FL 33321
Phone (954) 224-8359

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 4

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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1487054615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "954-678-4848",
            "fax_number": "786-706-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "954-678-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01569500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.