Individual provider Active NPI

Mary T Morrison, OTD R/L

  • Neurorehabilitation Occupational Therapist
  • Jonesboro, AR
National Provider Identifier
1588044226
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OTR2798 Issued in AR
Practice address
4996 Aberdeen Rd
Jonesboro, AR 72401-8086
Phone
(612) 300-2039
NPI assigned
Jun 8, 2015
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
OTR2798ARMDGerontology 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.

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.

Verify at the official NPI Registry.