Healthcare Provider Details

I. General information

NPI: 1104395979
Provider Name (Legal Business Name): MORGAN ALEXANDER SADLER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2018
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11855 HG TRUEMAN RD
LUSBY MD
20657-2855
US

IV. Provider business mailing address

3310 FALL HILL AVE
FREDERICKSBURG VA
22401-3000
US

V. Phone/Fax

Practice location:
  • Phone: 410-326-3432
  • Fax:
Mailing address:
  • Phone: 540-373-4602
  • Fax: 540-310-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305212652
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29608
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: