Provider Demographics
NPI:1295714640
Name:MORGAN, ROBIN K (PT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:K
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL ST2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-871-0789
Mailing Address - Fax:508-871-0707
Practice Address - Street 1:28 NEWTON ST
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772
Practice Address - Country:US
Practice Address - Phone:508-871-0789
Practice Address - Fax:508-871-0707
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTHREE RIVERS
2779432OtherCIGNA HEALTH PLAN
AA4052OtherHARVARD PILGRIM HEALTHCAR
Y66349OtherBLUE SHIELD INDEMNITY
43211OtherFALLON COMMUNITY HEALTH P
042472266OtherONE HEALTH PLAN
042472266OtherHEALTHCARE VALUE MANAGEME
7239627OtherAETNA US HEALTHCARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
MA0373141Medicaid
2779432001OtherCIGNA PAL ID REFERRAL
650017416OtherRAILROAD MEDICARE
Y66349OtherBLUE SHIELD HMO BLUE
042472266OtherTRICARE CHAMPUS
35481155OtherCIGNA HEALTHSOURCE
Y66349OtherBLUE CARE ELECT
Y68462OtherMEDICARE B
Y68462OtherMEDICARE B