Jon C Morris, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT710 Issued in ID

Practice address

1809 N Bingham Dr
Nampa, ID 83651-1764

Phone

(208) 466-6959

Fax

(208) 465-9901

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jack C Morris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBDDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durham Family Medicine, PLLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1215714084
  NPD (past)
• Treasure Valley Occupational Medicine

  • Occupational Medicine Physician
  • Boise, ID
  • NPI 1497211148
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1821258658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 N BINGHAM DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511764",
            "telephone_number": "208-466-6959",
            "fax_number": "208-465-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 N BINGHAM DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511764",
            "telephone_number": "208-466-6959",
            "fax_number": "208-465-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "PT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MORRIS",
            "middle_name": "C",
            "credential": "PT ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ann Morgan, RRT
• Melissa Morgan
• Kirsten J Morigeau, MD
• Joseph Paul Morisette, LCPC
• Morris Physical Therapy, Inc.
• Abbey Morrison
• Logan Neil Morrison, DMD
• Petra Morrison, LCPC, NCC
• Jandra Lee Morrow, OTR/L
• Kelsey Anne Morrow

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.