Active NPI
Morgan Fuller, MOT, OTR/L
- Pediatric Occupational Therapist
- Waipahu, HI
National Provider Identifier
1124882626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-2481
- Practice address
- 94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485 - Phone
- (808) 260-9056
- NPI assigned
- Feb 6, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0119006687 | VA | |
| Pediatric Occupational Therapist | 225XP0200X | OT-2481 | HI | Primary |
Addresses
Primary practice location
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Mailing address
95-009 Kahoea St Apt 123
Mililani, HI 96789-1556
Phone (757) 650-1782
Other names 1
- Ms. Morgan Leach
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 |
|---|---|---|---|
| OT-2481 | HI | MD | Pediatric Occupational Therapist |
| 0119006687 | VA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Pediatrics | Current | Accepting new patients |
Locations
1425 Keolu Dr
Kailua, HI 96734
Phone (808) 260-9056
94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056
94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1124882626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-009 KAHOEA ST APT 123",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891556",
"telephone_number": "757-650-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1181 KA UKA BLVD STE C",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974485",
"telephone_number": "808-260-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "VA",
"license": "0119006687",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "OT-2481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "LEACH",
"prefix": "MS.",
"credential": "MOT, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.