Active NPI
Andrew Keely Morgan, ATC LAT
- Athletic Trainer
- Elkins Park, PA
National Provider Identifier
1679142103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT005055
- Practice address
- 60 Township Line Rd
Elkins Park, PA 19027-2220 - Phone
- (215) 663-6741
- Fax
- (215) 663-6315
- NPI assigned
- Jun 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005055 | PA | Primary |
Addresses
Primary practice location
60 Township Line Rd
Elkins Park, PA 19027-2220
Mailing address
8809 Wissahickon Ave
Philadelphia, PA 19128-1127
Phone (215) 680-1036
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT005055 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624060800000",
"number": "1679142103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281127",
"telephone_number": "215-680-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TOWNSHIP LINE RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272220",
"telephone_number": "215-663-6741",
"fax_number": "215-663-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ANDREW",
"middle_name": "KEELY",
"credential": "ATC LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-19",
"last_updated": "2021-06-19",
"certification_date": "2021-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.