Active NPI
Deidra Cantrell Morrison, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1679742910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31472
- Practice address
- 6965 Piazza Grande Ave #210
210-4
Orlando, FL 32835 - Phone
- (804) 931-6864
- Fax
- (240) 483-4175
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31472 | FL | Primary |
Addresses
Primary practice location
6965 Piazza Grande Ave #210
210-4
Orlando, FL 32835
Mailing address
12030 Silverlake Park Dr
Windermere, FL 34786-9480
Phone (804) 931-6864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810025110 | Medicaid | WV | |
| 0089767 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6965 Piazza Grande Ave
Suite 215
Orlando, FL 32835-8780
Phone (407) 906-6007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31472 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Deis Physical Therapy Centre Inc | Physical Therapist | Current | Accepting new patients |
Locations
6965 Piazza Grande Ave
Ste 215
Orlando, FL 32835
Phone (407) 906-6007
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1952836462
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1679742910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12030 SILVERLAKE PARK DR",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347869480",
"telephone_number": "804-931-6864",
"fax_number": "240-483-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6965 PIAZZA GRANDE AVE #210",
"address_2": "210-4",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32835",
"telephone_number": "804-931-6864",
"fax_number": "240-483-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "DEIDRA",
"middle_name": "CANTRELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810025110",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089767",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.