Active NPI
Anne Morgan, COTA/L
- Occupational Therapy Assistant
- Medford, OR
National Provider Identifier
1710438429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 363771
- Practice address
- 400 Crater Lake Ave
Medford, OR 97504-6808 - Phone
- (541) 613-6505
- NPI assigned
- Oct 18, 2016
- Last updated
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 363771 | OR | Primary |
Addresses
Primary practice location
400 Crater Lake Ave
Medford, OR 97504-6808
Mailing address
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363771 | OR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1710438429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N ELM ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970133519",
"telephone_number": "503-263-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046808",
"telephone_number": "541-613-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ANNE",
"name_prefix": "Miss",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OR",
"license": "363771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.