Individual provider Active NPI

Morgan Staten, PT, DPT

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1679930259
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004440 Issued in WV
Practice address
521 Route 111
Hauppauge, NY 11788-4370
Phone
(631) 724-9509
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020634 OH
Physical Therapist 225100000X PT004440 WV Primary

Addresses

Primary practice location

521 Route 111
Hauppauge, NY 11788-4370

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (304) 917-3660

Other practice location 1

252 W Main St Ste E
Saint Clairsville, OH 43950-1065
Phone (740) 296-5042

Other practice location 2

620 National Rd Ste 100
Wheeling, WV 26003-6560
Phone (304) 230-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211014003131 WV Practitioner - Physical Therapist in Private Practice 0840698296 Reassigns benefits to 1 organization
I20231026002940 OH Practitioner - Physical Therapist in Private Practice 0840698296 Reassigns benefits to 1 organization
I20240215004173 NY Practitioner - Physical Therapist in Private Practice 0840698296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

521 Route 111
Hauppauge, NY 11788-4370
Phone (631) 724-9509

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jan 6, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jan 6, 2024 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients

Locations

1720 SE 16th Ave
Ste 302
Ocala, FL 34471
Phone (352) 512-0825

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

111 E 210th St
Bronx, NY 10467

521 Route 111
Hauppauge, NY 11788
Phone (631) 265-9645

521 Route 111
Ste 107
Hauppauge, NY 11788
Phone (631) 724-9505

252 W Main St
Ste E
St Clairsvle, OH 43950
Phone (740) 296-5042

10430 State Route 550
Ste A
Vincent, OH 45784
Phone (740) 760-8593

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

620 National Rd
Ste 100
Wheeling, WV 26003
Phone (304) 230-5601

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1679930259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-724-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 W Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439501065",
            "country_code": "US",
            "telephone_number": "740-296-5042",
            "fax_number": "740-296-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 National Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036560",
            "country_code": "US",
            "telephone_number": "304-230-5601",
            "fax_number": "304-230-5603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATEN",
        "first_name": "MORGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020634",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.