Active NPI
Richard Dewayne Morrison
- Occupational Therapy Assistant
- Iola, KS
National Provider Identifier
1003256454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- T-03672
- Practice address
- 101 S 1St St
Iola, KS 66749-3505 - Phone
- (620) 365-1000
- NPI assigned
- Jun 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T-03672 | KS | Primary |
Addresses
Primary practice location
101 S 1St St
Iola, KS 66749-3505
Mailing address
209 W 5TH St # Gas
Iola, KS 66749-7062
Phone (620) 363-1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-03672 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372550400000",
"number": "1003256454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 W 5TH ST # GAS",
"city": "IOLA",
"state": "KS",
"postal_code": "667497062",
"telephone_number": "620-363-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 1ST ST",
"city": "IOLA",
"state": "KS",
"postal_code": "667493505",
"telephone_number": "620-365-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "RICHARD",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-30",
"last_updated": "2013-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-03672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.