Active NPI
Michele R Morris, P.T.
- Physical Therapist
- O'Fallon, IL
National Provider Identifier
1679853667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.007467
- Practice address
- 210 Hartman LN
O Fallon, IL 62269-1779 - Phone
- (618) 589-9000
- Fax
- (618) 589-9005
- NPI assigned
- Aug 22, 2011
- Last updated
- Aug 22, 2011
- 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 | 070.007467 | IL | Primary |
Addresses
Primary practice location
210 Hartman LN
O Fallon, IL 62269-1779
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444
Other names 1
- Shelley R Morris
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.007467 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JKH Management, LLC | Physical Therapist | Past | Accepting new patients |
| Granite City Orthopedic Physicians Company LLC | Past | Accepting new patients | |
| Rehab Management Group, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Illinois SW Orthopedics LTD
- Orthopaedic Surgery Physician
- Glen Carbon, IL
- NPI 1508810920
-
dba Apex Physical Therapy
- Physical Therapy Clinic/Center
- Wood River, IL
- NPI 1467698068
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- O'Fallon, IL
- NPI 1801189642
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1679853667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 APEX DR",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622491282",
"telephone_number": "618-651-0444",
"fax_number": "618-654-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HARTMAN LN",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691779",
"telephone_number": "618-589-9000",
"fax_number": "618-589-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MICHELE",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.007467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "MORRIS",
"middle_name": "R",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.