Healthcare Provider Details

I. General information

NPI: 1003369794
Provider Name (Legal Business Name): REBECCA MORRIS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 BOLGER CT
FENTON MO
63026-2030
US

IV. Provider business mailing address

625 ENTERPRISE DR
OAK BROOK IL
60523-8813
US

V. Phone/Fax

Practice location:
  • Phone: 636-305-9599
  • Fax:
Mailing address:
  • Phone: 630-576-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2016027213
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: