John Morales, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

009340-1 Issued in NY

Practice address

3428 10TH St
Long Island City, NY 11106-5182

Phone

(347) 684-8166

NPI assigned

May 17, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1720578438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 10TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065182",
            "telephone_number": "347-684-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 10TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111065182",
            "telephone_number": "347-684-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062580",
            "country_code": "US",
            "telephone_number": "718-473-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JOHN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009340-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "280506410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Montes, LMHC
• Jerry Montgomery, RN
• Stephanie J Moon
• Sanna A Moore, LCSW
• Ana Morales, LCSW, MPA
• Lina Morales
• Madeline L Morales
• Minerva Morales
• Aida Elvira Moreta, RN
• Christian Moretto, LCSW

• Physical Therapy Assistant in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.