Morgan Basler
Individual provider Active NPI Physical Therapist · Temple Terrace, FL
NPI 1528536331 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1528536331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT34029 (FL)
- Practice address
- 13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925 - Phone
- (813) 978-9700
- Fax
- (813) 558-6186
- NPI assigned
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210127000308 | FL | Practitioner - Physical Therapist in Private Practice | 2163836594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34029 | FL | MD | Physical Therapist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romtherapy Inc | Physical Therapist | Current |
Accepting new patients |
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services Inc | Past | Accepting new patients | |
| Healthrom, Inc | Past |
Accepting new patients |
Locations
3850 Anchuca Dr
Ste 10
Lakeland, FL 33811
Phone (203) 684-6181
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34029 | FL | Yes |
Addresses
Primary practice location
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Other practice location 1
3633 W Waters Ave Ste 700
Tampa, FL 33614-2783
Phone (813) 932-5119
Other providers in Temple Terrace, FL
- Ailyn T Barr
- Meredith Barrett
- Melanie Angelia Barriffe
- Jared Edward Barron
- Barry C Levine DMD PA
- Tania Efigenia Bastardo
- Camilo De Jesus Basulto Martinez
- Baws Express Medical Supplies Inc
- Jo Anne L Baxter
- Bay Area Neuro Clinic Inc
All providers in Temple Terrace, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.