Individual provider Active NPI

Morgan Pamela Wilson, PT, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1942736178
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014440 Issued in CO
Practice address
6638 W Ottawa Ave # 115
Littleton, CO 80128
Phone
(303) 872-7240
Fax
(303) 872-7240
NPI assigned
May 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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 PTL.0014440 CO Primary

Addresses

Primary practice location

6638 W Ottawa Ave # 115
Littleton, CO 80128

Mailing address

6638 W Ottawa Ave # 115
Littleton, CO 80128-4562
Phone (303) 872-7240

Other practice location 1

12080 Bellaire Way
Thornton, CO 80241-3600
Phone (303) 450-2700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014440COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Recovery Physical Therapy, P.C. CurrentSince Jul 1, 2019 Accepting new patients

Locations

5944 S Kipling Pkwy
Ste 203
Littleton, CO 80127
Phone (303) 872-7240

6638 W Ottawa Ave
Ste 115
Littleton, CO 80128
Phone (303) 872-7240

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": "1494288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1942736178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE # 115",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-872-7240",
            "fax_number": "303-872-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE # 115",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80128",
            "telephone_number": "303-872-7240",
            "fax_number": "303-872-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12080 Bellaire Way",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413600",
            "country_code": "US",
            "telephone_number": "303-450-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MORGAN",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-09",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.