MEDICARE: PETER J MORRIS MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT26080	CA

General Provider Information

NPI Number	:	1124020391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER J MORRIS MPT

Provider Business Mailing Address
First Line	:	1010 N BATAVIA ST STE E
Second Line	:	#519
City	:	ORANGE
State	:	CA
Zip	:	92867-5531
Country	:	US
Telephone Number	:	714-939-6200
Fax Number	:	714-939-6500

Provider Business Practice Location Address
First Line	:	1590 S SINCLAIR ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-5933
Country	:	US
Telephone Number	:	714-939-6200
Fax Number	:	714-939-6500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/31/2014

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