Active NPI
Morgan Lane Dillard
- Physical Therapist
- Enid, OK
National Provider Identifier
1902590664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6331
- Practice address
- 401 S 3Rd St
Enid, OK 73701-5737 - Phone
- (580) 548-1164
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6331 | OK | MD | Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6331 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 S 3Rd St
Enid, OK 73701-5737
Mailing address
258766 E County Road 42
Cleo Springs, OK 73729-1055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2023.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1902590664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258766 E COUNTY ROAD 42",
"city": "CLEO SPRINGS",
"state": "OK",
"postal_code": "737291055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S 3RD ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015737",
"telephone_number": "580-548-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "MORGAN",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.