Active NPI
Clinton Wayne Morris, PT, DPT
- Physical Therapist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05012537A
- 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.
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
-
- Rehabilitation Clinic/Center
- New Albany, IN
- NPI 1366915761
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1043775521
-
- Durable Medical Equipment & Medical Supplies
- Shelbyville, KY
- NPI 1053944900
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1063978435
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1063985463
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1114482692
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
- Rehabilitation Clinic/Center
- Shepherdsville, KY
- NPI 1265905665
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295208734
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1295234623
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05012537A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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.