Active NPI
Mackenzie Davide Morrell, DPT PT
- Physical Therapist
- Washington, PA
National Provider Identifier
1841937398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030381
- Practice address
- 900 Wildflower Cir Ste 903
Washington, PA 15301-9782 - Phone
- (724) 416-7172
- Fax
- (724) 416-3037
- NPI assigned
- May 17, 2022
- Last updated
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030381 | PA | Primary |
Addresses
Primary practice location
900 Wildflower Cir Ste 903
Washington, PA 15301-9782
Mailing address
270 Swagler Rd
Scenery Hill, PA 15360-1564
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 |
|---|---|---|---|
| PT030381 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1841937398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 SWAGLER RD",
"city": "SCENERY HILL",
"state": "PA",
"postal_code": "153601564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WILDFLOWER CIR STE 903",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019782",
"telephone_number": "724-416-7172",
"fax_number": "724-416-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRELL",
"first_name": "MACKENZIE",
"middle_name": "DAVIDE",
"name_prefix": "Dr.",
"credential": "DPT PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.