Morgan Lee Clark, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05628 Issued in KS

Practice address

668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366

Phone

(816) 434-5180

Fax

(816) 286-4112

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Morgan Lee Maddox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1982131066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-434-5180",
            "fax_number": "816-286-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-434-5180",
            "fax_number": "816-286-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MORGAN",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017030848",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "MADDOX",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Lees Summit
• Amy Clark
• Brooke Renee Clark, M.S. CCC-SLP
• Channel Trenise Clark, PMHNP-BC
• Crystal Michelle Clark
• Aaron Clary, D.C.
• Charity Ann Clavey, LCSW, LAC
• Clay Platte Family Medicine Clinic
• Brittany M Claypole, LCSW
• Page Clayton, LCSW

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.