NPIMap

Individual provider Active NPI

Michele Morris

  • Occupational Therapist
  • Winter Park, FL
National Provider Identifier
1881964146
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056007337 Issued in IL
Practice address
925 S Semoran Blvd
Ste 108
Winter Park, FL 32792-5313
Phone
(888) 830-1050
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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 056007337 IL Primary

Addresses

Primary practice location

925 S Semoran Blvd
Ste 108
Winter Park, FL 32792-5313

Mailing address

6548 S Woodlawn Ave
Chicago, IL 60637-4306
Phone (708) 261-7403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214000664 TX Practitioner - Occupational Therapist in Private Practice 2264889781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

1860 N Cooper St
Arlington, TX 76011-3639
Phone (817) 776-3501

800 Whitley Rd
Keller, TX 76248-2519
Phone (817) 357-7181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056007337ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Tailor Made Senior Service Inc CurrentSince Nov 22, 2023 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 30, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 30, 2025 Accepting new patients
Foundations Senior Service Inc Occupational Therapist Past Accepting new patients

Locations

610 Uptown Blvd
Ste 250
Cedar Hill, TX 75104

4245 N Central Expy
Ste 490
Dallas, TX 75205
Phone (214) 702-5336

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1881964146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 S WOODLAWN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374306",
            "telephone_number": "708-261-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S SEMORAN BLVD",
            "address_2": "STE 108",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925313",
            "telephone_number": "888-830-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.