Morgen Lee Dalebout, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12677476-4201 Issued in UT

Practice address

1333 N Main St Ste 6
Cedar City, UT 84721-9314

Phone

(435) 868-6200

Fax

(435) 868-6201

NPI assigned

Mar 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085
  Medicare reassignment NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1124559877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E 2100 NORTH CIR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219385",
            "telephone_number": "435-327-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N MAIN ST STE 6",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219314",
            "telephone_number": "435-868-6200",
            "fax_number": "435-868-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEBOUT",
        "first_name": "MORGEN",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "UT",
            "license": "12677476-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Croft
• Alexandria Crouse
• Jessica Lyn Cunningham-Lowden
• D. Alan Davies DMD PC
• Travis Daignault
• Daphne Dalley, LCSW
• David A Dalton, DO
• Merilee Dalton
• William Michael Dancer, CRNA
• Sidney Tuan Dang, PSY.D.

• Pediatric Occupational Therapist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Pediatric Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.