Individual provider Active NPI

Angelica M Morelli

  • Physical Therapist
  • Crossville, TN
National Provider Identifier
1720312424
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004348 Issued in TN
Practice address
29 Taylor Ave
Suite 205
Crossville, TN 38555-4527
Phone
(931) 456-5757
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000004348 TN Primary

Addresses

Primary practice location

29 Taylor Ave
Suite 205
Crossville, TN 38555-4527

Mailing address

29 Taylor Ave
Suite 205
Crossville, TN 38555-4527

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4348TNMDPharmacist
PT0000004348TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1720312424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 205",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE",
            "address_2": "SUITE 205",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554527",
            "telephone_number": "931-456-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLI",
        "first_name": "ANGELICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.