Megan Reane Morris, PTA
Individual provider Active NPI Physical Therapy Assistant · Waddy, KY
NPI 1780244475 · NPPES record last updated Jun 16, 2019
Key facts
- NPI
- 1780244475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A03878 (KY)
- Practice address
- 4930 Hickory Ridge Rd
Waddy, KY 40076-7917 - Phone
- (618) 731-0153
- NPI assigned
- Jun 16, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03878 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03878 | KY | Yes |
Addresses
Primary practice location
4930 Hickory Ridge Rd
Waddy, KY 40076-7917
Mailing address
4930 Hickory Ridge Rd
Waddy, KY 40076-7917
Other providers in Waddy, KY
All providers in Waddy, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.