Individual provider Active NPI

James Morris, PT, DPT, CSCS

  • Physical Therapist
  • Stevensville, MI
National Provider Identifier
1497354377
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501301748 Issued in MI
Practice address
4500 Red Arrow Hwy
Stevensville, MI 49127-8329
Phone
(269) 999-4508
NPI assigned
Oct 21, 2020
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 5501301748 MI Primary

Addresses

Primary practice location

4500 Red Arrow Hwy
Stevensville, MI 49127-8329

Mailing address

314 Lake CT
Saint Joseph, MI 49085-1632
Phone (269) 999-4508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222002016 MI Practitioner - Physical Therapist in Private Practice 0941610067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 Red Arrow Hwy
Unit I
Stevensville, MI 49127-8329
Phone (269) 999-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501301748MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gym Rat Performance and Wellness LLC Physical Therapist CurrentSince Nov 6, 2024 Accepting new patients
Executive Fitness Inc Past Accepting new patients

Locations

4500 Red Arrow Hwy
Unit I
Stevensville, MI 49127
Phone (269) 999-4508

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, 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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1497354377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LAKE CT",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851632",
            "telephone_number": "269-999-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491278329",
            "telephone_number": "269-999-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JAMES",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.