Active NPI
Mindi Ellen Morris, OTR/L
- Occupational Therapist
- Ridgefield, CT
National Provider Identifier
1154727576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003032-1
- Practice address
- 43 Tanton Hill Rd
Ridgefield, CT 06877-3207 - Phone
- (203) 438-2920
- NPI assigned
- Nov 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003032-1 | NY | Primary |
Addresses
Primary practice location
43 Tanton Hill Rd
Ridgefield, CT 06877-3207
Mailing address
1392 Albany Post Rd
Croton on Hudson, NY 10520-1559
Phone (914) 816-8969
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 |
|---|---|---|---|
| 003032-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1154727576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 ALBANY POST RD",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105201559",
"telephone_number": "914-816-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 TANTON HILL RD",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068773207",
"telephone_number": "203-438-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MINDI",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003032-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.