Individual provider Active NPI

Paul Morgan

  • Occupational Therapist
  • Calico Rock, AR
National Provider Identifier
1043963671
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3394 Issued in AR
Practice address
3615 Norfork River Rd
Calico Rock, AR 72519-9564
Phone
(407) 222-2024
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3394 AR Primary

Addresses

Primary practice location

3615 Norfork River Rd
Calico Rock, AR 72519-9564

Mailing address

3615 Norfork River Rd
Calico Rock, AR 72519-9564
Phone (407) 222-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415000529 AR Practitioner - Occupational Therapist in Private Practice 3173919321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3394ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Speech Services, LLC Occupational Therapist CurrentSince Mar 9, 2022 Accepting new patients

Locations

75 Highway 62 412
Ste J
Ash Flat, AR 72513
Phone (870) 206-9430

400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1043963671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 NORFORK RIVER RD",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725199564",
            "telephone_number": "407-222-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NORFORK RIVER RD",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725199564",
            "telephone_number": "407-222-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calico Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.