Individual provider Active NPI

Dana Casey Morstatt, DPT

  • Physical Therapist
  • Monroe, NY
National Provider Identifier
1770860397
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045521 Issued in NY
Practice address
745 State Route 17M Ste 104
Monroe, NY 10950-2663
Phone
(845) 782-3200
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01238400 NJ
Physical Therapist 225100000X 045521 NY Primary

Addresses

Primary practice location

745 State Route 17M Ste 104
Monroe, NY 10950-2663

Mailing address

24 White Rd
Ringwood, NJ 07456-1315
Phone (973) 464-4046

Other names 1

  • Dana Casey Nazarechuk Former name

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
40QA01238400NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1770860397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WHITE RD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561315",
            "telephone_number": "973-464-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 STATE ROUTE 17M STE 104",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502663",
            "telephone_number": "845-782-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSTATT",
        "first_name": "DANA",
        "middle_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01238400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "NAZARECHUK",
            "middle_name": "CASEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.