Individual provider Active NPI

Chad Reno Morris, M.P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1841307063
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28883 Issued in CA
Practice address
3200 4TH Ave
201
San Diego, CA 92103-5716
Phone
(619) 297-4404
Fax
(619) 297-0804
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 PT28883 CA Primary

Addresses

Primary practice location

3200 4TH Ave
201
San Diego, CA 92103-5716

Mailing address

3200 4TH Ave
201
San Diego, CA 92103-5716
Phone (619) 297-4404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140505002131 CA Practitioner - Physical Therapist in Private Practice 7214995760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MKC Physical Therapy IncGroup PAC ID 6800024720, 5 clinicians
Nexus Physical TherapyGroup PAC ID 6305890609, 9 clinicians

Practice addresses (Care Compare)

3191 Sports Arena Blvd
Suite B
San Diego, CA 92110-4569
Phone (619) 226-4131

522 Jamacha Rd
El Cajon, CA 92019-2448
Phone (619) 579-1625

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23338CAMDClinical Neuropsychologist
PT28883CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MKC Physical Therapy Inc Physical Therapist CurrentSince Mar 30, 2022 Accepting new patients
Nexus Physical Therapy Physical Therapist CurrentSince Nov 1, 2004 Accepting new patients

Locations

1310 3rd Ave
Chula Vista, CA 91911
Phone (619) 420-0869

1380 Third Ave
Chula Vista, CA 91911
Phone (619) 420-0869

860 Jamacha Rd
Ste 203
El Cajon, CA 92019
Phone (619) 573-6373

522 Jamacha Rd
El Cajon, CA 92019
Phone (619) 579-1625

1745 S Imperial Ave
Ste 112
El Centro, CA 92243
Phone (760) 312-9817

15835 Pomerado Rd
Ste 101
Poway, CA 92064
Phone (858) 312-6444

4733 Clairemont Dr
Ste 57
San Diego, CA 92117
Phone (858) 455-8584

2970 5th Ave
Ste 220
San Diego, CA 92103
Phone (619) 297-4404

3191 Sports Arena Blvd
Ste B
San Diego, CA 92110
Phone (619) 226-4131

3200 4th Ave
Ste 100
San Diego, CA 92103
Phone (619) 293-3994

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1841307063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 4TH AVE",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-297-4404",
            "fax_number": "619-297-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 4TH AVE",
            "address_2": "201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-297-4404",
            "fax_number": "619-297-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CHAD",
        "middle_name": "RENO",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.