Morgan Phillips, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2857 Issued in OK

Practice address

34637 Airline Rd
Pauls Valley, OK 73075-8583

Phone

(405) 238-7000

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1710562145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N HICKORY",
            "city": "ROFF",
            "state": "OK",
            "postal_code": "748659069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34637 AIRLINE RD",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730758583",
            "telephone_number": "405-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MORGAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "2857",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Norman",
            "affiliation": "N",
            "address_1": "34637 Airline Rd",
            "city": "Pauls Valley",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730758583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pauls Valley General Hospital
• Pauls Valley General Hospital
• Pauls Valley Urgent Care LLC
• Alisha Pearson
• Stanley Earl Peters Jr., BA
• Physicians & Surgeons of Pauls Valley Oklahoma PLLC
• Amanda R Polk, PT
• Christine Poteet
• Kodi D Powell
• Lacey R Powers, BSW

• Physical Therapy Assistant in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Physical Therapy Assistant in Oklahoma

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