Individual provider Active NPI

Kathleen Susan Morris, OTR

  • Occupational Therapist
  • Elkhart, IN
National Provider Identifier
1396943676
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31000497A Issued in IN
Practice address
2600 Morehouse Ave
Elkhart, IN 46517-2552
Phone
(574) 295-8800
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31000497A IN Primary

Addresses

Primary practice location

2600 Morehouse Ave
Elkhart, IN 46517-2552

Mailing address

55117 Andrew LN
Osceola, IN 46561-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122000394 IN Practitioner - Occupational Therapist in Private Practice 0446607931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

7770 Burr St
Schererville, IN 46375-3567
Phone (219) 213-6140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jun 3, 2024 Accepting new patients
Senior Outpatient Services Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jun 3, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Nov 15, 2023 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Nov 15, 2023 Accepting new patients

Locations

525 Bentee Wes Ct
Evansville, IN 47715
Phone (812) 471-3100

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1396943676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55117 ANDREW LN",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465618707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MOREHOUSE AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465172552",
            "telephone_number": "574-295-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000497A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.