Individual provider Active NPI

Morgan Humble, DPT

  • Physical Therapist
  • South Lake Tahoe, CA
National Provider Identifier
1578064788
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293899 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 543-5896
Fax
(530) 544-6512
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3668 NV
Physical Therapist 225100000X 293899 CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

PO Box 9578
South Lake Tahoe, CA 96158-9578
Phone (530) 543-5896

Other practice location 1

1139 3rd St
South Lake Tahoe, CA 96150-3465
Phone (530) 543-5706

Other practice location 2

155 Highway 50 Fl 2
Stateline, NV 89449-9816
Phone (775) 589-8953

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

LicenseStateTypeSpecialty
293899CAMDPhysical Therapist
3668NVMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1578064788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9578",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961589578",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 3rd St",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503465",
            "country_code": "US",
            "telephone_number": "530-543-5706",
            "fax_number": "530-541-4130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Highway 50 Fl 2",
            "address_purpose": "LOCATION",
            "city": "Stateline",
            "state": "NV",
            "postal_code": "894499816",
            "country_code": "US",
            "telephone_number": "775-589-8953",
            "fax_number": "775-589-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.