Active NPI
Elizabgeth Ridley-Morris, O. T.L
- Occupational Therapist
- Concord, NC
National Provider Identifier
1699178632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9435
- Practice address
- 1005 Lily Green CT NW
Concord, NC 28027-3398 - Phone
- (516) 312-5860
- NPI assigned
- Oct 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9435 | NC | Primary |
Addresses
Primary practice location
1005 Lily Green CT NW
Concord, NC 28027-3398
Mailing address
1005 Lily Green Court.
Concord, NC 28027
Phone (516) 312-5860
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 |
|---|---|---|---|
| 9435 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1699178632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 LILY GREEN COURT.",
"city": "CONCORD",
"state": "NC",
"postal_code": "28027",
"telephone_number": "516-312-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 LILY GREEN CT NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273398",
"telephone_number": "516-312-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDLEY-MORRIS",
"first_name": "ELIZABGETH",
"credential": "O. T.L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.