Active NPI
Jordan Morino, PT
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- LPT-31675
- Practice address
- 17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612 - Phone
- (623) 979-2747
- Fax
- (623) 979-3122
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | LPT-31675 | AZ | Primary |
Addresses
Primary practice location
17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612
Mailing address
17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612
Phone (623) 979-2747
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | GLENDALE | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1413 S Virginia St
Reno, NV 89502-2805
Phone (775) 507-4210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31675 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Aris Health Corportation | Physical Therapist | Current | Accepting new patients |
Locations
17100 N 67th Ave
Ste 100
Glendale, AZ 85308
Phone (623) 979-2747
1413 S Virginia St
Reno, NV 89502
Phone (775) 507-4210
5255 Longley Ln
Ste 140
Reno, NV 89511
Phone (775) 507-7024
2484 Wingfield Hills Rd
Ste C120
Sparks, NV 89436
Phone (775) 993-3640
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Reno, NV
- NPI 1306802533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1740866623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 N 67TH AVE BLDG 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083612",
"telephone_number": "623-979-2747",
"fax_number": "623-979-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 N 67TH AVE BLDG 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083612",
"telephone_number": "623-979-2747",
"fax_number": "623-979-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORINO",
"first_name": "JORDAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "LPT-31675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "GLENDALE",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "GLENDALE",
"address_1": "17100 N 67th Ave Bldg 100",
"city": "GLENDALE",
"state": "AZ",
"country_code": "US",
"postal_code": "853083612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.