Individual provider Active NPI

Jason Cory Morgan, MS, LAT, ATC, PES

  • Athletic Trainer
  • Indianapolis, IN
National Provider Identifier
1528327624
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36001251A Issued in IN
Practice address
8227 Northwest Blvd
Suite #160
Indianapolis, IN 46278-1387
Phone
(317) 415-5795
Fax
(317) 415-5748
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001251A IN Primary

Addresses

Primary practice location

8227 Northwest Blvd
Suite #160
Indianapolis, IN 46278-1387

Mailing address

8227 Northwest Blvd
Suite #160
Indianapolis, IN 46278-1387
Phone (317) 415-5795

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
36001251AINMDAthletic Trainer

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, 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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1528327624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE #160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387",
            "telephone_number": "317-415-5795",
            "fax_number": "317-415-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE #160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387",
            "telephone_number": "317-415-5795",
            "fax_number": "317-415-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JASON",
        "middle_name": "CORY",
        "credential": "MS, LAT, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001251A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.