Individual provider Active NPI

Jessica Nadine Morris, DPT

  • Physical Therapist
  • Buckhannon, WV
National Provider Identifier
1922742808
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
120 Buckhannon XRDS Ste 112
Buckhannon, WV 26201-8477
Phone
(304) 472-8510
Fax
(304) 472-8512
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

120 Buckhannon XRDS Ste 112
Buckhannon, WV 26201-8477

Mailing address

PO Box 727
Fairmont, WV 26555-0727
Phone (304) 367-0707

Other names 1

  • Jessica Nadine Morris Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Nov 1, 2012 Accepting new patients

Locations

120 Buckhannon Xrds
Ste 112
Buckhannon, WV 26201
Phone (304) 472-8510

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

2600 Middletown Cmns
Ste 260
White Hall, WV 26554
Phone (304) 816-3169

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1922742808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265550727",
            "telephone_number": "304-367-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BUCKHANNON XRDS STE 112",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018477",
            "telephone_number": "304-472-8510",
            "fax_number": "304-472-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JESSICA",
        "middle_name": "NADINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MORRIS",
            "middle_name": "NADINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.