Active NPI
Ava Danielle Kirkland, OTR
- Occupational Therapist
- La Porte, IN
National Provider Identifier
1720238165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003447A
- Practice address
- 2002 Andrew Ave
La Porte, IN 46350-6563 - Phone
- (219) 325-1599
- Fax
- (219) 362-1682
- NPI assigned
- Sep 23, 2008
- 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 Therapist | 225X00000X | 31003447A | IN | Primary |
Addresses
Primary practice location
2002 Andrew Ave
La Porte, IN 46350-6563
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (800) 944-9782
Other names 1
- Ava Danielle Morris
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 |
|---|---|---|---|
| 31003447A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1720238165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "800-944-9782",
"fax_number": "610-438-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 ANDREW AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463506563",
"telephone_number": "219-325-1599",
"fax_number": "219-362-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "AVA",
"middle_name": "DANIELLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003447A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVA",
"last_name": "MORRIS",
"middle_name": "DANIELLE",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.