Provider Demographics
NPI:1306960109
Name:MORGIA, CHERRY DONGA (PT)
Entity type:Individual
Prefix:MRS
First Name:CHERRY
Middle Name:DONGA
Last Name:MORGIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GATEWAY BLVD N
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-9658
Mailing Address - Country:US
Mailing Address - Phone:219-921-1401
Mailing Address - Fax:219-926-6926
Practice Address - Street 1:601 GATEWAY BLVD N
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-9658
Practice Address - Country:US
Practice Address - Phone:219-921-1401
Practice Address - Fax:219-926-6926
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003279A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000356528OtherANTHEM BCBS GROUP
IN217780YMedicare PIN
IN473320QQQMedicare PIN
IN154529Medicare ID - Type UnspecifiedMEDICARE PART A GROUP
INP00607453Medicare PIN