Olympia Thalassites Morris, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108742 Issued in FL

Practice address

506 Southwest Federal Highway
Suite 101
Stuart, FL 34994

Phone

(772) 288-6300

Fax

(772) 288-6374

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Olympia Thalassites Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Rainier Emergency Physicians LLC

  • Emergency Medicine Physician
  • Plant City, FL
  • NPI 1508275447
  NPD (past)
• Emergency Care Associates of Indiana, LLC

  • Emergency Medicine Physician
  • Lafayette, IN
  • NPI 1790112688
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1447699491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950746",
            "telephone_number": "772-288-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SOUTHWEST FEDERAL HIGHWAY",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "OLYMPIA",
        "middle_name": "THALASSITES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10001521A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLYMPIA",
            "last_name": "THALASSITES",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer M Morley, BCBA
• Rose Morocho
• Eliza Gomez Morris
• Hillary C Morris, ARNP
• Hillary Lynn Morris, AP
• Samuel Arthur Morris
• Morrison Clinic
• Margot M Morrison-Lee, LMFT
• Amanda Diane Morton
• Daisy M Morton

• Medical Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.