Kameron J Morris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8977 Issued in NC

Practice address

4221 Tuckaseegee Rd
Charlotte, NC 28204

Phone

(704) 392-4057

Fax

(704) 392-4788

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Camden-Clark Physician Corporation

  • Surgery Physician
  • Parkersburg, WV
  • NPI 1710125430

  WV

  Medicare reassignment NPD
• Body Mechaniques Inc.

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1366490187
  NPD (past)
• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619907151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667744",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28266",
            "telephone_number": "704-392-4057",
            "fax_number": "704-392-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-392-4057",
            "fax_number": "704-392-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KAMERON",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "188033",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078N8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmisa Simere Morris
• Douglas Wayne Morris, D.C.
• Edward Zebulon Morris Jr., RPH
• Erin Woods Morris, DPT
• Jaime Michelle Stanton Morris, PNP-PC
• Katelyn Park Morris, CRNA, RN
• Kimberly Renee Morris
• Kimbrel Morris, LCMHCA, NCC
• Krista Schwabacher Morris, M.D.
• Lee E. Morris, MD

• All providers in Charlotte, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.