Individual provider Active NPI

Morgan Christine Fogel, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1619405651
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13041PT Issued in AZ
Practice address
6206 E Pima St Ste 3
Tucson, AZ 85712-7001
Phone
(520) 733-6227
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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 13041PT AZ Primary

Addresses

Primary practice location

6206 E Pima St Ste 3
Tucson, AZ 85712-7001

Mailing address

3038 N Ann Eve PL
Tucson, AZ 85716-1548
Phone (573) 356-8075

Other identifiers 1

IdentifierTypeStateIssuer
13041PTOtherAZSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103001333 TX Practitioner - Physical Therapist in Private Practice 8628342680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colleyville Physical Therapy and Sports Rehab, PCGroup PAC ID 1153315791, 12 clinicians

Practice addresses (Care Compare)

1109 Church St
Colleyville, TX 76034-5849
Phone (817) 498-3919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13041PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colleyville Physical Therapy and Sports Rehab, PC Physical Therapist CurrentSince Nov 12, 2021 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist PastSince Nov 18, 2019 Accepting new patients
Endurance Rehabilitation LLC Past Accepting new patients

Locations

1109 Church St
Colleyville, TX 76034
Phone (817) 498-3919

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1619405651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 N ANN EVE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161548",
            "telephone_number": "573-356-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 E PIMA ST STE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857127001",
            "telephone_number": "520-733-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "MORGAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13041PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "13041PT",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.