Healthcare Provider Details

I. General information

NPI: 1891730453
Provider Name (Legal Business Name): MORRIS PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 10/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 STRATTON RD
RUTLAND VT
05701-4622
US

IV. Provider business mailing address

218 STRATTON RD
RUTLAND VT
05701-4622
US

V. Phone/Fax

Practice location:
  • Phone: 802-773-4900
  • Fax: 802-774-5600
Mailing address:
  • Phone: 802-773-4900
  • Fax: 802-774-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number040-0002998
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number040-0002998
License Number StateVT
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040-0002998
License Number StateVT

VIII. Authorized Official

Name: DR. CHRISTOPHER LEE MORRIS
Title or Position: PRESIDENT
Credential: DPT
Phone: 802-773-4900