Individual provider Active NPI

Morghan Jungman, PTA

  • Physical Therapy Assistant
  • Athens, TX
National Provider Identifier
1700414810
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2104132 Issued in TX
Practice address
6444 South Palestine St
Athens, TX 75751
Phone
(254) 231-1199
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2104132 TX Primary

Addresses

Primary practice location

6444 South Palestine St
Athens, TX 75751

Mailing address

2000 S Palestine St
Athens, TX 75751-5610
Phone (254) 231-1199

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MrjungmAn@uthet.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
2104132TXMDPhysical Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: mrjungman@uthet.com

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1700414810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515610",
            "telephone_number": "254-231-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 SOUTH PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "254-231-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGMAN",
        "first_name": "MORGHAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2104132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MrjungmAn@uthet.com",
            "affiliation": "N",
            "endpointDescription": "EmIl",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 S Palestine St",
            "city": "Athens",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757515610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.