Provider Demographics
NPI:1982839742
Name:MORGAN, JASON D
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
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Other - Credentials:
Mailing Address - Street 1:73 NEWTON RD
Mailing Address - Street 2:STE 101
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2424
Mailing Address - Country:US
Mailing Address - Phone:978-388-7272
Mailing Address - Fax:978-388-7373
Practice Address - Street 1:149 EPPING RD
Practice Address - Street 2:STE 1A
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4522
Practice Address - Country:US
Practice Address - Phone:603-580-0180
Practice Address - Fax:603-580-0181
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2015-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH3430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH001108901Medicare PIN