Kori Morden, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008540 Issued in MI

Practice address

3875 Golfside Rd
Ypsilanti, MI 48197-3726

Phone

(734) 572-3623

NPI assigned

Sep 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kori Lee Wanlass Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1285002972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 LAKEVIEW BLVD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483561684",
            "telephone_number": "810-252-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 GOLFSIDE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973726",
            "telephone_number": "734-572-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDEN",
        "first_name": "KORI",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORI",
            "last_name": "WANLASS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Talasha D Moore, MA, CRC, LPC
• Tamara Moore
• Tina Michele Moore
• Zade Moore
• James Edward Moravek Jr., MD
• Katrina Morenski
• Scott Morin
• Kimberly Ann Morley, MD
• Benjamin E Morris, LPC
• Jenifer C Morris

• Occupational Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.