Active NPI
Morgan Maxwell Bennett, M.S., OTR/L
- Occupational Therapist
- Texarkana, TX
National Provider Identifier
1740514876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- O-T0955
- Practice address
- 1008 Citizens TRL
Texarkana, TX 75501-5922 - Phone
- (903) 838-9526
- NPI assigned
- Sep 22, 2009
- 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 | O-T0955 | AR | Primary |
Addresses
Primary practice location
1008 Citizens TRL
Texarkana, TX 75501-5922
Mailing address
1008 Citizens TRL
Texarkana, TX 75501-5922
Phone (903) 838-9526
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-T0955 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1740514876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 CITIZENS TRL",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015922",
"telephone_number": "903-838-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 CITIZENS TRL",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015922",
"telephone_number": "903-838-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MORGAN",
"middle_name": "MAXWELL",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "O-T0955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.