Individual provider Active NPI

Morgan Musselwhite, DPT

  • Physical Therapist
  • Lakeland, FL
National Provider Identifier
1801400395
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36250 Issued in FL
Practice address
4720 Cleveland Heights Blvd Ste 101
Lakeland, FL 33813-2244
Phone
(863) 664-0007
Fax
(863) 644-3377
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 PT36250 FL Primary

Addresses

Primary practice location

4720 Cleveland Heights Blvd Ste 101
Lakeland, FL 33813-2244

Mailing address

314 W Hamilton Ave
Tampa, FL 33604-5425
Phone (904) 814-1965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002320 FL Practitioner - Physical Therapist in Private Practice 8325467483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Associates LLCGroup PAC ID 3870525504, 5 clinicians

Practice addresses (Care Compare)

4720 Cleveland Heights Blvd
Suite 101
Lakeland, FL 33813-2244
Phone (863) 701-9623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Associates LLC Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients

Locations

4720 Cleveland Heights Blvd
Ste 101
Lakeland, FL 33813
Phone (863) 644-0007

Organizations & group practices 1

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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1801400395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045425",
            "telephone_number": "904-814-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132244",
            "telephone_number": "863-664-0007",
            "fax_number": "863-644-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELWHITE",
        "first_name": "MORGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.