Healthcare Provider Details

I. General information

NPI: 1336201193
Provider Name (Legal Business Name): MICHAEL JOSEPH MORRIS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S CANFIELD NILES RD UNIT E
YOUNGSTOWN OH
44515-4083
US

IV. Provider business mailing address

1032 ANNABELLE ST
MC DONALD OH
44437-1632
US

V. Phone/Fax

Practice location:
  • Phone: 234-287-6660
  • Fax: 234-287-6669
Mailing address:
  • Phone: 330-720-5298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT011649
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: