Individual provider Active NPI

Colleen Morse, DPT

  • Physical Therapist
  • Sewell, NJ
National Provider Identifier
1780018069
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01513600 Issued in NJ
Practice address
102 Kings Way W
Sewell, NJ 08080-2235
Phone
(856) 582-4500
Fax
(856) 589-1280
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 PT026792 PA
Physical Therapist 225100000X 40QA01513600 NJ Primary

Addresses

Primary practice location

102 Kings Way W
Sewell, NJ 08080-2235

Mailing address

102 Kings Way W
Sewell, NJ 08080-2235
Phone (856) 582-4500

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
40QA01513600NJMDPhysical Therapist
PT026792PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Physical Therapy, LLC Physical Therapist CurrentSince Aug 26, 2013 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients

Locations

1919 Greentree Rd
Ste B
Cherry Hill, NJ 08003
Phone (856) 424-0993

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1780018069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KINGS WAY W",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802235",
            "telephone_number": "856-582-4500",
            "fax_number": "856-589-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 KINGS WAY W",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802235",
            "telephone_number": "856-582-4500",
            "fax_number": "856-589-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026792",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01513600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.