Individual provider Active NPI

Laura Lynn Morse, OTR

  • Pediatric Occupational Therapist
  • Palm Coast, FL
National Provider Identifier
1013670454
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT21461 Issued in FL
Practice address
120 Cypress Edge Dr Ste 101
Palm Coast, FL 32164-8454
Phone
(386) 586-1670
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT21461 FL Primary

Addresses

Primary practice location

120 Cypress Edge Dr Ste 101
Palm Coast, FL 32164-8454

Mailing address

120 Cypress Edge Dr Ste 101
Palm Coast, FL 32164-8454
Phone (386) 586-1760

Other practice location 1

18 Regent Ln Unit A
Palm Coast, FL 32164-6602
Phone (850) 321-3762

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

LicenseStateTypeSpecialty
OT21461FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Flagler Inc PastSince Oct 24, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1013670454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CYPRESS EDGE DR STE 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648454",
            "telephone_number": "386-586-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CYPRESS EDGE DR STE 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648454",
            "telephone_number": "386-586-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Regent Ln Unit A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321646602",
            "country_code": "US",
            "telephone_number": "850-321-3762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSE",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT21461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.