MEDICARE: MORGAN CERVERA DPT

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	2026024284	MO

General Provider Information

NPI Number	:	1699609677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN CERVERA DPT

Provider Business Mailing Address
First Line	:	647 SPIRIT AIRPARK WEST DR STE 101
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1032
Country	:	US
Telephone Number	:	636-223-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	9523 GRAVOIS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-4531
Country	:	US
Telephone Number	:	314-356-2442
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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