Active NPI
Mary T Morrison, OTD R/L
- Neurorehabilitation Occupational Therapist
- Jonesboro, AR
National Provider Identifier
1588044226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- OTR2798
- Practice address
- 4996 Aberdeen Rd
Jonesboro, AR 72401-8086 - Phone
- (612) 300-2039
- NPI assigned
- Jun 8, 2015
- Last updated
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR2798 | AR | |
| Human Factors Occupational Therapist | 225XH1300X | OTR2798 | AR | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OTR2798 | AR | Primary |
| Gerontology Occupational Therapist | 225XG0600X | OTR2798 | AR | |
| Environmental Modification Occupational Therapist | 225XE0001X | OTR2798 | AR |
Addresses
Primary practice location
4996 Aberdeen Rd
Jonesboro, AR 72401-8086
Mailing address
4996 Aberdeen Rd
Jonesboro, AR 72401-8086
Phone (612) 300-2039
Other names 1
- Dr. M. Tracy Morrison
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2798 | AR | MD | Gerontology Occupational Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Jonesboro, AR
- NPI 1245760610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1588044226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4996 ABERDEEN RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018086",
"telephone_number": "612-300-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4996 ABERDEEN RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018086",
"telephone_number": "612-300-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "MARY",
"middle_name": "T",
"credential": "OTD R/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2798",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "AR",
"license": "OTR2798",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "AR",
"license": "OTR2798",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "AR",
"license": "OTR2798",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "AR",
"license": "OTR2798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "MORRISON",
"middle_name": "TRACY",
"prefix": "DR.",
"credential": "OTD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.