Individual provider Active NPI

Morgan Sutliff, PTA

  • Physical Therapy Assistant
  • Greenfield, WI
National Provider Identifier
1619425402
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
7517 W Cold Spring Rd
Greenfield, WI 53220-2814
Phone
(414) 327-6603
Fax
(414) 327-5411
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

7517 W Cold Spring Rd
Greenfield, WI 53220-2814

Mailing address

7517 W Cold Spring Rd
Greenfield Rehabilitation Agency
Greenfield, WI 53220-2814
Phone (414) 327-6603

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

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1619425402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 W COLD SPRING RD",
            "address_2": "GREENFIELD REHABILITATION AGENCY",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202814",
            "telephone_number": "414-327-6603",
            "fax_number": "414-327-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 W COLD SPRING RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202814",
            "telephone_number": "414-327-6603",
            "fax_number": "414-327-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLIFF",
        "first_name": "MORGAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.