Individual provider Active NPI

Cristen Jade Morgan, PTA

  • Physical Therapy Assistant
  • Maysville, KY
National Provider Identifier
1912635533
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A04390 Issued in KY
Practice address
2345 Old Main St
Maysville, KY 41056-8934
Phone
(606) 407-5906
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A04390 KY Primary

Addresses

Primary practice location

2345 Old Main St
Maysville, KY 41056-8934

Mailing address

2345 Old Main St
Maysville, KY 41056-8934
Phone (606) 407-5906

Other practice location 1

491 Tucker Dr
Maysville, KY 41056-9111
Phone (606) 759-4005

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

LicenseStateTypeSpecialty
A04390KYMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1912635533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568934",
            "telephone_number": "606-407-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 OLD MAIN ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568934",
            "telephone_number": "606-407-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Tucker Dr",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410569111",
            "country_code": "US",
            "telephone_number": "606-759-4005",
            "fax_number": "606-759-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "CRISTEN",
        "middle_name": "JADE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.