Provider Demographics
NPI:1679628929
Name:MORGAN PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MORGAN PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:SERIO
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-756-0870
Mailing Address - Street 1:7116 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-4805
Mailing Address - Country:US
Mailing Address - Phone:225-756-0870
Mailing Address - Fax:225-756-0804
Practice Address - Street 1:7116 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-4805
Practice Address - Country:US
Practice Address - Phone:225-756-0870
Practice Address - Fax:225-756-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CN66Medicare ID - Type Unspecified