Zanetta R Morrow, OT L

Individual provider Active NPI Occupational Therapist · Richland, MO

NPI 1003053471 · NPPES record last updated Jan 7, 2009

Key facts

NPI
1003053471
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2008022707 (MO)
Practice address
714 E Jefferson Ave
Richland, MO 65556-8202
Phone
(573) 765-3241
Fax
(573) 765-5552
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2008022707MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski County R-IV School District Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2008022707 MO Yes

Addresses

Primary practice location

714 E Jefferson Ave
Richland, MO 65556-8202

Mailing address

714 E Jefferson Ave
Richland, MO 65556-8202
Phone (573) 765-3241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2009.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1003053471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E JEFFERSON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655568202",
            "telephone_number": "573-765-3241",
            "fax_number": "573-765-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E JEFFERSON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655568202",
            "telephone_number": "573-765-3241",
            "fax_number": "573-765-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "ZANETTA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OT L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2008022707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MO

All providers in Richland, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.