Individual provider Active NPI

Lorraine Morgan, PT, M.S.

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1710170600
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-007978 Issued in IL
Practice address
3032 Broadway
Quincy, IL 62301
Phone
(217) 222-6800
Fax
(217) 222-0037
NPI assigned
Aug 23, 2007
Last updated
Apr 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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 070007978 IL
Physical Therapist 225100000X 070-007978 IL Primary

Addresses

Primary practice location

3032 Broadway
Quincy, IL 62301

Mailing address

3032 Broadway
Quincy, IL 62301
Phone (217) 222-6800

Other identifiers 4

IdentifierTypeStateIssuer
113326OtherILHEALTHLINK PROVIDER ID
203OtherILBLUE CROSS PROVIDER ID
4117OtherILHAMP PROVIDER ID
7216OtherILPERSONALCARE PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090422000443 IL Practitioner - Physical Therapist in Private Practice 9133276512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy Illini Community Hospital LLCGroup PAC ID 3476791161, 6 clinicians

Practice addresses (Care Compare)

128 W Washington St
Pittsfield, IL 62363-1441

201 N Mississippi St
Pittsfield, IL 62363-1410
Phone (217) 285-4512

4800 Maine St
Suite 48 100
Quincy, IL 62305-5875
Phone (217) 222-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070-007978ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Jan 1, 2012 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist Current Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC Physical Therapist CurrentSince Oct 25, 2011 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC CurrentSince Oct 25, 2011 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

1089 Jason Pl
Chatham, IL 62629
Phone (217) 483-5858

100 W Main St
Mt Sterling, IL 62353
Phone (217) 483-5858

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

927 Broadway St
Ste 100
Quincy, IL 62301
Phone (217) 222-9300

160 Progress Rd
#111
Hannibal, MO 63401

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1710170600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "PT, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID",
            "identifier": "113326",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAMP PROVIDER ID",
            "identifier": "4117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONALCARE PROVIDER ID",
            "identifier": "7216",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.