Individual provider Active NPI

Nicholas Jarred Morris

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1982364329
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32139 Issued in AZ
Practice address
1301 W University Ave Ste 2
Flagstaff, AZ 86001-7230
Phone
(928) 556-8607
NPI assigned
Dec 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 32139 AZ Primary

Addresses

Primary practice location

1301 W University Ave Ste 2
Flagstaff, AZ 86001-7230

Mailing address

9411 Slayton Ranch Rd
Flagstaff, AZ 86004-3372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002814 AZ Practitioner - Physical Therapist in Private Practice 2062805997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

5200 E Cortland Blvd
Suite C1
Flagstaff, AZ 86004-9341
Phone (928) 440-5094

906 W University Ave
Suite 120
Flagstaff, AZ 86001-7115
Phone (928) 556-9935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32139AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 1, 2022 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 1, 2022 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations

2250 Highway 95
Ste B390
Bullhead City, AZ 86442
Phone (928) 610-2001

5200 E Cortland Blvd
Ste C1
Flagstaff, AZ 86004
Phone (928) 440-5094

906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935

1301 W University Ave
Ste 2
Flagstaff, AZ 86001
Phone (928) 556-8607

1301 W University Ave
Flagstaff, AZ 86001
Phone (928) 556-8607

1485 N Turquoise Dr
Ste 220
Flagstaff, AZ 86001
Phone (928) 214-6626

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

Organizations & group practices 5

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1982364329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 SLAYTON RANCH RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W UNIVERSITY AVE STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017230",
            "telephone_number": "928-556-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "NICHOLAS",
        "middle_name": "JARRED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.

Verify at the official NPI Registry.