Provider Demographics
NPI:1134676752
Name:STRATE, MORGAN (DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:STRATE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18881 W DODGE RD STE 300W
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4648
Mailing Address - Country:US
Mailing Address - Phone:877-230-3885
Mailing Address - Fax:402-925-4425
Practice Address - Street 1:5616 S STATE ROUTE 1
Practice Address - Street 2:
Practice Address - City:SAINT ANNE
Practice Address - State:IL
Practice Address - Zip Code:60964-5264
Practice Address - Country:US
Practice Address - Phone:815-922-5101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
NMPT-2024-0104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty