Individual provider Active NPI

Katrina Shiri Morgan, DPT

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1801465604
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21633 Issued in MT
Practice address
5000 Blue Mountain Rd Ste 2
Missoula, MT 59804-9213
Phone
(406) 251-2323
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 21633 MT Primary

Addresses

Primary practice location

5000 Blue Mountain Rd Ste 2
Missoula, MT 59804-9213

Mailing address

2965 Stockyard Rd
Missoula, MT 59808-1557
Phone (406) 541-2606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002715 MT Practitioner - Physical Therapist in Private Practice 1951702646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dodge Works PT, Inc Dba Alpine Physical TherapyGroup PAC ID 0749285179, 32 clinicians

Practice addresses (Care Compare)

2965 Stockyard Rd
Missoula, MT 59808-1557
Phone (406) 541-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21633MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients

Locations

5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323

5000 Blue Mountain Rd
Ste 2
Missoula, MT 59804
Phone (406) 251-2323

2965 Stockyard Rd
Missoula, MT 59808
Phone (406) 251-2323

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1801465604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 STOCKYARD RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081557",
            "telephone_number": "406-541-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KATRINA",
        "middle_name": "SHIRI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "21633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.