Active NPI
Morgan Proctor, OTR/L
- Occupational Therapist
- Bloomingdale, IL
National Provider Identifier
1366056731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- West Suburban Nursing and Rehabilitation
311 Edgewater Drive
Bloomingdale, IL 60108 - Phone
- (630) 984-7400
- NPI assigned
- Sep 3, 2020
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 056.013600 | IL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
West Suburban Nursing and Rehabilitation
311 Edgewater Drive
Bloomingdale, IL 60108
Mailing address
Forest View Nursing and Rehabilitation
535 S. Elm Street
Itasca, IL 60143
Phone (630) 773-9416
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 |
|---|---|---|---|
| 056.013600 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1366056731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FOREST VIEW NURSING AND REHABILITATION",
"address_2": "535 S. ELM STREET",
"city": "ITASCA",
"state": "IL",
"postal_code": "60143",
"telephone_number": "630-773-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WEST SUBURBAN NURSING AND REHABILITATION",
"address_2": "311 EDGEWATER DRIVE",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "60108",
"telephone_number": "630-984-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "MORGAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "056.013600",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.