Matthew Lee Morris, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-006215 Issued in IL

Practice address

607 W Oak St
West Frankfort, IL 62896-2537

Phone

(618) 937-3509

NPI assigned

Mar 10, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Herron Rehab and Wellness Center, S.C.Group PAC ID 3274671870, 4 clinicians

Practice addresses (Care Compare)

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.

• Herron Rehab and Wellness Center, S.C.

  • Occupational Therapist
  • West Frankfort, IL
  • NPI 1710110861
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1154644789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W OAK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962537",
            "telephone_number": "618-937-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-006215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin R Moffett, D.C.
• Ariel Moore
• Lyndsey Alecia Moore, M.S.W Q.M.H.P
• Aaron Morehead
• Carri Morris
• Charles R. Morthland, ILLINOIS LICENSE # 0
• Micheal Moss
• Sarah Mossholder
• MRM Chiropractic LLC
• Kjatie Murphy

• Occupational Therapist in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.