Organization Active NPI

Morris Pediatric Occupational Therapy

  • Occupational Therapist
  • Johns Island, SC
National Provider Identifier
1003170606
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3157 Issued in SC
Legal business name
MORRIS PEDIATRIC OCCUPATIONAL THERAPY
Practice address
4099 E Amy LN
Johns Island, SC 29455-8177
Phone
(843) 697-4453
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Mitchell Morris, MRS, OTR/LNPI 1053325241
Title
Owner/Occupational Therapist
Phone
(843) 697-4453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 3157 SC Primary

Addresses

Primary practice location

4099 E Amy LN
Johns Island, SC 29455-8177

Mailing address

4099 E Amy LN
Johns Island, SC 29455-8177
Phone (843) 697-4453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1003170606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 E AMY LN",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558177",
            "telephone_number": "843-697-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 E AMY LN",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558177",
            "telephone_number": "843-697-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS PEDIATRIC OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "843-697-4453",
        "authorized_official_credential": "MRS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.