Active NPI
Patrick Morin, DPT
- Physical Therapist
- South Bend, IN
National Provider Identifier
1982397154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015105A
- Practice address
- 1005 N Hickory Rd
South Bend, IN 46615-2280 - Phone
- (574) 233-5754
- NPI assigned
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 05015105A | IN | Primary |
Addresses
Primary practice location
1005 N Hickory Rd
South Bend, IN 46615-2280
Mailing address
1005 N Hickory Rd
South Bend, IN 46615-2280
Phone (574) 233-5754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230626003135 | IN | Practitioner - Physical Therapist in Private Practice | 0749648574 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- McDonald Physical Therapy
Practice addresses (Care Compare)
1005 N Hickory Rd
South Bend, IN 46615-3723
Phone (574) 233-5754
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 74.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015105A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonald Physical Therapy | Physical Therapist | Current | Accepting new patients |
| McDonald Physical Therapy and Sports Rehabilitation Center | Current | Accepting new patients |
Locations
1005 N Hickory Rd
South Bend, IN 46615
Phone (574) 233-5754
Organizations & group practices 2
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 Assistant
- South Bend, IN
- NPI 1710863691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1982397154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N HICKORY RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152280",
"telephone_number": "574-233-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N HICKORY RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466152280",
"telephone_number": "574-233-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "PATRICK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015105A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.