Individual provider Active NPI

Richard Morgan, DPT

  • Physical Therapist
  • East Grand Forks, MN
National Provider Identifier
1841670494
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10964 Issued in MN
Practice address
406 3Rd St NW
East Grand Forks, MN 56721-1713
Phone
(218) 773-3388
Fax
(218) 773-6611
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1982 ND
Physical Therapist 225100000X 10964 MN Primary

Addresses

Primary practice location

406 3Rd St NW
East Grand Forks, MN 56721-1713

Mailing address

406 3Rd St NW
East Grand Forks, MN 56721-1713
Phone (218) 773-3388

Other practice location 1

1425 S Columbia Rd
Grand Forks, ND 58201-4039
Phone (701) 746-8374

Other identifiers 1

IdentifierTypeStateIssuer
1841670494OtherNDNPI

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

LicenseStateTypeSpecialty
1982NDMDGeneral Practice Dentistry
10964MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Current Accepting new patients
Life Skills and Transition Center PastSince Apr 24, 2022 Accepting new patients

Locations

621 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-5800

625 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-5858

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1841670494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 3RD ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211713",
            "telephone_number": "218-773-3388",
            "fax_number": "218-773-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 3RD ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211713",
            "telephone_number": "218-773-3388",
            "fax_number": "218-773-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014039",
            "country_code": "US",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1982",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841670494",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.