Morris Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

RPT710 Issued in ID

Legal business name

MORRIS PHYSICAL THERAPY, INC.

Practice address

1809 N Bingham Dr
Nampa, ID 83651-1764

Phone

(208) 466-6959

Fax

(208) 465-9901

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Jack C Morris, P.T., ATC

Title

Owner

Phone

(208) 466-6959

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1922172154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 N BINGHAM DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511764",
            "telephone_number": "208-466-6959",
            "fax_number": "208-465-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 N BINGHAM DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511764",
            "telephone_number": "208-466-6959",
            "fax_number": "208-465-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-466-6959",
        "authorized_official_credential": "P.T., ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805031000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA MEDICARE",
            "identifier": "P00206064",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "311934",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T7671",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Ryan Moreno, L.C.S.W.
• Ann Morgan, RRT
• Melissa Morgan
• Kirsten J Morigeau, MD
• Joseph Paul Morisette, LCPC
• Jon C Morris, PT ATC
• Abbey Morrison
• Logan Neil Morrison, DMD
• Petra Morrison, LCPC, NCC
• Jandra Lee Morrow, OTR/L

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.