Susan K Morris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.003311 Issued in IL

Practice address

880 Columbia Ctr
Columbia, IL 62236-2567

Phone

(618) 281-9699

Fax

(618) 281-9698

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• FLS Physical Therapy Associates PC

  • Physical Therapy Clinic/Center
  • Columbia, IL
  • NPI 1669432522

  Physical Therapist

  NPD (past)
• Ati Holdings Missouri, LLC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1609277946
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1629324231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 COLUMBIA CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362567",
            "telephone_number": "618-281-9699",
            "fax_number": "618-281-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 COLUMBIA CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362567",
            "telephone_number": "618-281-9699",
            "fax_number": "618-281-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.003311",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Missey, MS RD LDN
• Mitan Pediatric Therapy Inc
• Robin Mitan, OT
• Monclair Enterprises, Inc.
• Stephanie Lynn Morris, MSCCC/SLP
• Msa Alliance, LLC
• Katelyn F Mushinsky, MS CCC-SLP
• Nathan D. Williamson, D.M.D. LLC
• Naumann Optics Inc
• Nexus at Columbia, LLC

• Physical Therapist in Columbia, IL
• Providers in Columbia, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.