Individual provider Active NPI

Clinton Wayne Morris, PT, DPT

  • Physical Therapist
  • New Albany, IN
National Provider Identifier
1922522473
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012537A Issued in IN
Practice address
3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399
Phone
(812) 944-1377
Fax
(812) 944-1458
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLC 339 clinicians

Practice addresses (Care Compare)

1050 Copperfield Dr
Georgetown, IN 47122-9075
Phone (812) 951-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829003557 IN Practitioner - Physical Therapist in Private Practice 9739452616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

9407 County Road 403
Charlestown, IN 47111
Phone (812) 256-0528

325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231

1050 Copperfield Dr
Georgetown, IN 47122
Phone (812) 651-1440

1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705

3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05012537A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399

Mailing address

3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399
Phone (812) 944-1377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2017.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1922522473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 GRANT LINE RD STE 105",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502399",
            "telephone_number": "812-944-1377",
            "fax_number": "812-944-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 GRANT LINE RD STE 105",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502399",
            "telephone_number": "812-944-1377",
            "fax_number": "812-944-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CLINTON",
        "middle_name": "WAYNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012537A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.