Individual provider Active NPI

Melinda Morris, MOT, OTR/L

  • Occupational Therapist
  • Florence, SC
National Provider Identifier
1780009431
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4598 Issued in SC
Practice address
1604 Bellevue Dr
Florence, SC 29501-6504
Phone
(843) 773-1633
Fax
(888) 843-8310
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4598 SC Primary

Addresses

Primary practice location

1604 Bellevue Dr
Florence, SC 29501-6504

Mailing address

1604 Bellevue Dr
Florence, SC 29501-6504
Phone (843) 773-1633

Other practice location 1

1420 E College Dr
Suite 704
Marshall, MN 56258-2065
Phone (507) 532-3393

Other identifiers 1

IdentifierTypeStateIssuer
TH3439MedicaidSC

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

LicenseStateTypeSpecialty
4598SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Integrative Therapy Occupational Therapist Current Accepting new patients
Morris Integrative Chiropractic & Wellness LLP CurrentSince Jan 19, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1780009431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 BELLEVUE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016504",
            "telephone_number": "843-773-1633",
            "fax_number": "888-843-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BELLEVUE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016504",
            "telephone_number": "843-773-1633",
            "fax_number": "888-843-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 E College Dr",
            "address_2": "Suite 704",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562582065",
            "country_code": "US",
            "telephone_number": "507-532-3393",
            "fax_number": "507-532-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MELINDA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH3439",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.