Active NPI
Nicole Morrissey
- Occupational Therapist
- Whitestone, NY
National Provider Identifier
1043776990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022878
- Practice address
- 15050 14TH Rd
Whitestone, NY 11357-2609 - Phone
- (718) 767-0071
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12698 | MA | |
| Occupational Therapist | 225X00000X | 022878 | NY | Primary |
Addresses
Primary practice location
15050 14TH Rd
Whitestone, NY 11357-2609
Mailing address
14 Royal Crest Dr
Marlborough, MA 01752-2415
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 |
|---|---|---|---|
| 12698 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1043776990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ROYAL CREST DR",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017522415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15050 14TH RD",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113572609",
"telephone_number": "718-767-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12698",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.