Healthcare Provider Details

I. General information

NPI: 1023971777
Provider Name (Legal Business Name): JC MORRIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 DUFF DR
WINTER GARDEN FL
34787-5005
US

IV. Provider business mailing address

536 DUFF DR
WINTER GARDEN FL
34787-5005
US

V. Phone/Fax

Practice location:
  • Phone: 479-466-2703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CASEY MORRIS
Title or Position: PRESIDENT
Credential: SLP
Phone: 479-466-2703