Provider Demographics
NPI:1093962433
Name:MCMORRIS, MICHAEL SCOTT (PT, DPT,OCS)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:MCMORRIS
Suffix:
Gender:M
Credentials:PT, DPT,OCS
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Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPT OF PHYSICAL THERAPY
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-1186
Mailing Address - Fax:919-966-0348
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:DEPT OF PHYSICAL THERAPY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-1186
Practice Address - Fax:919-966-0348
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC6759225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ49609Medicare UPIN
NCQ49609E107Medicare UPIN