Kenneth Shane Morgan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4726 Issued in TN

Practice address

1467 N Mack Smith Rd
East Ridge, TN 37412-3947

Phone

(423) 894-4403

Fax

(423) 894-4513

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1750675237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 N MACK SMITH RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374123947",
            "telephone_number": "423-894-4403",
            "fax_number": "423-894-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KENNETH",
        "middle_name": "SHANE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA4726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel McGovern, DMD
• Evan McKenzie, PA-C
• Kiley Miliano, CNM
• Catherine Murph Mitchell
• Jack Money, RPH
• Jerry Thomas Mote, LPC
• Keith William Myers, PTA
• Anne Rebecca Neumann, FNP-C
• Ruth A Nielson, DC
• Nathaniel Graham Norman, PHARMD

• Physical Therapy Assistant in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.