Provider Demographics
NPI:1750894192
Name:LOCKER, MORGAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:LOCKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:REISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5109 BRIGGS CIR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1754
Mailing Address - Country:US
Mailing Address - Phone:732-995-0952
Mailing Address - Fax:
Practice Address - Street 1:611 BROADWAY RM 503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2668
Practice Address - Country:US
Practice Address - Phone:212-254-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist