Active NPI
Karen Morgan, PTA
- Physical Therapy Assistant
- Eastpointe, MI
National Provider Identifier
1508262106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502000657
- Practice address
- 18200 E 10 Mile Rd
200
Eastpointe, MI 48021-1368 - Phone
- (586) 439-2901
- Fax
- (586) 439-2902
- NPI assigned
- Nov 8, 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 Therapy Assistant | 225200000X | 5502000657 | MI | Primary |
Addresses
Primary practice location
18200 E 10 Mile Rd
200
Eastpointe, MI 48021-1368
Mailing address
18200 E 10 Mile Rd
200
Eastpointe, MI 48021-1368
Phone (586) 439-2901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5502000657 | Other | MI | STATE OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502000657 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Hospital Unit
- Saint Clair Shores, MI
- NPI 1801844220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415404800000",
"number": "1508262106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 E 10 MILE RD",
"address_2": "200",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480211368",
"telephone_number": "586-439-2901",
"fax_number": "586-439-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 E 10 MILE RD",
"address_2": "200",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480211368",
"telephone_number": "586-439-2901",
"fax_number": "586-439-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KAREN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-08",
"last_updated": "2014-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502000657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "5502000657",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.