Individual provider Active NPI

Angela Beth Cummings Morgan, PT, DPT, GCS

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1578189692
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25533 Issued in FL
Practice address
2202 Bryan St
Melbourne, FL 32901-5958
Phone
(321) 372-5102
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 PT25533 FL Primary

Addresses

Primary practice location

2202 Bryan St
Melbourne, FL 32901-5958

Mailing address

2202 Bryan St
Melbourne, FL 32901-5958
Phone (352) 278-2897

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
PT25533FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthotics & Prosthetics, LLC CurrentSince Feb 2, 2025 Accepting new patients
Premier Orthotics & Prosthetics, LLC PastSince Jun 28, 2020 Accepting new patients

Locations

2202 Bryan St
Melbourne, FL 32901
Phone (321) 372-5102

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1578189692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 BRYAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015958",
            "telephone_number": "352-278-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 BRYAN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015958",
            "telephone_number": "321-372-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ANGELA",
        "middle_name": "BETH CUMMINGS",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.