Active NPI
Kiley Marie Morgan
- Occupational Therapist
- Sault Sainte Marie, MI
National Provider Identifier
1043880826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1863
- Practice address
- 323 Emmett St
Sault Sainte Marie, MI 49783-2758 - Phone
- (906) 440-8101
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201011334 | MI | |
| Occupational Therapist | 225X00000X | 1863 | ND | Primary |
Addresses
Primary practice location
323 Emmett St
Sault Sainte Marie, MI 49783-2758
Mailing address
323 Emmett St
Sault Sainte Marie, MI 49783-2758
Phone (906) 440-8101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1863 | ND | MD | Dentist |
| 5201011334 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1043880826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 EMMETT ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497832758",
"telephone_number": "906-440-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 EMMETT ST",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497832758",
"telephone_number": "906-440-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KILEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201011334",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.