Healthcare Provider Details

I. General information

NPI: 1790699551
Provider Name (Legal Business Name): JOHNIKA MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6497 GREENBROOK DR
DAYTON OH
45426-1307
US

IV. Provider business mailing address

6497 GREENBROOK DR
DAYTON OH
45426-1307
US

V. Phone/Fax

Practice location:
  • Phone: 937-450-3409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTA012469
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: