Nelly Norris, Mot, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NELLY NORRIS, MOT, PA

Practice address

20410 10TH Street
McIntosh, FL 32664

Phone

(352) 208-8401

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Nelly Norris, MOTR/L

Title

President

Phone

(352) 208-8401

Specialties & licenses 1

Addresses

Other names 1

• McIntosh Occupational Therapy Doing business as

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1790348308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 NW 189TH PL",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326862565",
            "telephone_number": "352-208-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 10TH STREET",
            "city": "MCINTOSH",
            "state": "FL",
            "postal_code": "32664",
            "telephone_number": "352-208-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLY NORRIS, MOT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-208-8401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McIntosh Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Finch, Mot, PA
• Michelle Fossler, L.M.T.
• Nelly Norris, MOTR/L

• Clinic/Center in McIntosh, FL
• Providers in McIntosh, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.