Nelly Norris, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16073 Issued in FL

Practice address

20400 10TH Street Unit 1
McIntosh, FL 32664-0500

Phone

(352) 208-8401

Fax

(844) 270-4798

NPI assigned

Feb 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1659870137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "MC INTOSH",
            "state": "FL",
            "postal_code": "326640500",
            "telephone_number": "352-208-8401",
            "fax_number": "844-270-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 10TH STREET UNIT 1",
            "city": "MCINTOSH",
            "state": "FL",
            "postal_code": "326640500",
            "telephone_number": "352-208-8401",
            "fax_number": "844-270-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 George Washington Way",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524211",
            "country_code": "US",
            "telephone_number": "352-208-8401",
            "fax_number": "509-943-0649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "NELLY",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-1317",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT60824890",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels in Peace
• Barbara Finch, Mot, PA (McIntosh Occupational Therapy)
• Michelle Fossler, L.M.T.
• Nelly Norris, Mot, PA (McIntosh Occupational Therapy)

• Occupational Therapist in McIntosh, FL
• Providers in McIntosh, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.