Individual provider Active NPI

Megan Marie Demorris, OTR/L

  • Occupational Therapist
  • Worcester, MA
National Provider Identifier
1114657244
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
39 Queen St
Worcester, MA 01610-2433
Phone
(508) 753-4791
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 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 Primary

Addresses

Primary practice location

39 Queen St
Worcester, MA 01610-2433

Mailing address

55 Stafford Hollow Rd
Monson, MA 01057-9308
Phone (774) 230-9717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004001320 MA Practitioner - Occupational Therapist in Private Practice 8729519475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Physical Therapy IncGroup PAC ID 7618994310, 5 clinicians

Practice addresses (Care Compare)

135 Main St
Suite 4
Sturbridge, MA 01566-1569
Phone 50834781411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Physical Therapy, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Quality Physical Therapy Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients

Locations

135 Main St
Ste 4
Sturbridge, MA 01566
Phone (508) 347-8141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1114657244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STAFFORD HOLLOW RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579308",
            "telephone_number": "774-230-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102433",
            "telephone_number": "508-753-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORRIS",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.