Active NPI
Morgan Leigh Ketterling, PT, DPT, LAT, ATC
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1831567247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3124 Colorado LN
Bismarck, ND 58503-5447 - Phone
- (701) 214-5379
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3124 Colorado LN
Bismarck, ND 58503-5447
Mailing address
1620 Plains BND SE
Mandan, ND 58554-5720
Phone (757) 777-2286
Other practice location 1
1620 Plains Bnd SE
Mandan, ND 58554-5720
Phone (757) 777-2286
Other names 1
- Ms. Morgan Leigh Berger
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2706 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Edge Op LLC | Physical Therapist | Current | Accepting new patients |
Locations
2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664
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": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1831567247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 PLAINS BND SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585545720",
"telephone_number": "757-777-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 COLORADO LN",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035447",
"telephone_number": "701-214-5379"
}
],
"practiceLocations": [
{
"address_1": "1620 Plains Bnd SE",
"address_purpose": "LOCATION",
"city": "Mandan",
"state": "ND",
"postal_code": "585545720",
"country_code": "US",
"telephone_number": "757-777-2286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETTERLING",
"first_name": "MORGAN",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "BERGER",
"middle_name": "LEIGH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.