Morgann Dulle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0015028 Issued in CO

Practice address

3 Superior Dr Ste 225
Superior, CO 80027-8661

Phone

(303) 665-2603

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1689342115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 XAVIER DR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317801",
            "telephone_number": "479-586-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SUPERIOR DR STE 225",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278661",
            "telephone_number": "303-665-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Lutheran Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336028",
            "country_code": "US",
            "telephone_number": "303-456-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULLE",
        "first_name": "MORGANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0015028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Doherty, L.AC.
• Dawa Dolma
• Harma A Drenth, FNP
• Dudleysuperior PLLC
• Jocelyn Duff, DPT
• Vassily T Eliopoulos, MD
• Jon Michael Erickson, M.D.
• Deanna Jill Estes
• Elizabeth Evans, MS, LAC
• Stacey Fair, LPC

• All providers in Superior, CO
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.