Active NPI
Conner Brentyn Morris, DPT
- Physical Therapist
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65177
- Practice address
- 300 NW Hillside Pkwy
McMinnville, OR 97128-9567 - Phone
- (503) 472-9534
- NPI assigned
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65177 | OR | Primary |
Addresses
Primary practice location
300 NW Hillside Pkwy
McMinnville, OR 97128-9567
Mailing address
3306 N Morris St
Newberg, OR 97132-9008
Phone (503) 341-1006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15600 SW Rock of Ages Rd
McMinnville, OR 97128-8531
Phone (503) 770-0352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trek Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
15600 SW Rock of Ages Rd
McMinnville, OR 97128
Phone (503) 472-6212
1445 NE Miller St
Ste 3A
McMinnville, OR 97128
Phone (503) 770-0352
650 NE 2nd St
Unit 1322
McMinnville, OR 97128
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.
-
- Physical Therapy Clinic/Center
- McMinnville, OR
- NPI 1437818119
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1962268920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 N MORRIS ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971329008",
"telephone_number": "503-341-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NW HILLSIDE PKWY",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289567",
"telephone_number": "503-472-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CONNER",
"middle_name": "BRENTYN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.