Provider Demographics
NPI:1861564833
Name:MORRIS, JOHN WILLIAM (MSPT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
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Mailing Address - Street 1:420 BAINBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1568
Mailing Address - Country:US
Mailing Address - Phone:215-629-3837
Mailing Address - Fax:215-629-5531
Practice Address - Street 1:3370 PROGRESS DR
Practice Address - Street 2:SUITE K
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5811
Practice Address - Country:US
Practice Address - Phone:215-639-1600
Practice Address - Fax:215-639-8216
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT016003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1215555SAVMedicare PIN