Active NPI
Morgan Elyse Gillum, OTR
- Occupational Therapist
- Sterling, VA
National Provider Identifier
1205339348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007965
- Practice address
- 45305 Catalina CT Ste 101
Sterling, VA 20166 - Phone
- (571) 441-3177
- NPI assigned
- Mar 15, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 0119007965 | VA | Primary |
Addresses
Primary practice location
45305 Catalina CT Ste 101
Sterling, VA 20166
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 1
1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5820
Other practice location 2
1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5820
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1205339348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 1800",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677807",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45305 CATALINA CT STE 101",
"city": "STERLING",
"state": "VA",
"postal_code": "20166",
"telephone_number": "571-441-3177"
}
],
"practiceLocations": [
{
"address_1": "1200 E Pecan St",
"address_purpose": "LOCATION",
"city": "Altus",
"state": "OK",
"postal_code": "735216141",
"country_code": "US",
"telephone_number": "580-379-5820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Pecan St",
"address_purpose": "LOCATION",
"city": "Altus",
"state": "OK",
"postal_code": "735216141",
"country_code": "US",
"telephone_number": "580-379-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLUM",
"first_name": "MORGAN",
"middle_name": "ELYSE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.