Individual provider Active NPI

Nicole Michele Morgan, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1770838559
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4592 Issued in OK
Practice address
4519 S 173Rd East Ave
Tulsa, OK 74134-7357
Phone
(918) 216-9303
Fax
(539) 202-5007
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 4592 OK Primary

Addresses

Primary practice location

4519 S 173Rd East Ave
Tulsa, OK 74134-7357

Mailing address

4519 S 173Rd East Ave
Tulsa, OK 74134-7357
Phone (918) 622-4126

Other practice location 1

400 S Mission St Ste 101
Sapulpa, OK 74066-4645
Phone (918) 227-7878

Other names 1

  • Nicole Beaumont Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000640 OK Practitioner - Physical Therapist in Private Practice 7618125600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Therapy Specialists, LLCGroup PAC ID 1759294689, 16 clinicians

Practice addresses (Care Compare)

10032 S Sheridan
Suite Q
Tulsa, OK 74133-6259
Phone (918) 296-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4592OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Excel Therapy Specialists, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2232 W Houston St
Broken Arrow, OK 74012
Phone (918) 259-1888

10032 S Sheridan Rd
Ste Q
Tulsa, OK 74133
Phone (918) 296-7900

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1770838559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 S 173RD EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347357",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 S 173RD EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347357",
            "telephone_number": "918-216-9303",
            "fax_number": "539-202-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Mission St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740664645",
            "country_code": "US",
            "telephone_number": "918-227-7878",
            "fax_number": "918-227-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BEAUMONT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.

Verify at the official NPI Registry.