Active NPI
Shawn Dale Morgan, OTR/L, CEAS
- Hand Occupational Therapist
- Centerville, OH
National Provider Identifier
1891266672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT006497
- Practice address
- 715 Congress Park Dr
Centerville, OH 45459-4044 - Phone
- (513) 802-1929
- NPI assigned
- Dec 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006497 | OH | |
| Environmental Modification Occupational Therapist | 225XE0001X | OT006497 | OH | |
| Ergonomics Occupational Therapist | 225XE1200X | OT006497 | OH | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT006497 | OH | |
| Hand Occupational Therapist | 225XH1200X | OT006497 | OH | Primary |
Addresses
Primary practice location
715 Congress Park Dr
Centerville, OH 45459-4044
Mailing address
7753 Cox Lane Box 31
West Chester, OH 45069
Other practice location 1
7782 Service Center Dr
West Chester, OH 45069-2442
Phone (513) 802-1929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006497 | OH | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1891266672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7753 COX LANE BOX 31",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 CONGRESS PARK DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594044",
"telephone_number": "513-802-1929"
}
],
"practiceLocations": [
{
"address_1": "7782 Service Center Dr",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450692442",
"country_code": "US",
"telephone_number": "513-802-1929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "SHAWN",
"middle_name": "DALE",
"credential": "OTR/L, CEAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT006497",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "OH",
"license": "OT006497",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "OH",
"license": "OT006497",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OH",
"license": "OT006497",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OH",
"license": "OT006497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.