Active NPI
Morgan Marie Mauck, DR.
- Occupational Therapist
- Supply, NC
National Provider Identifier
1902689623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 58 Physicians Dr NW Ste 106
Supply, NC 28462-4216 - Phone
- (910) 755-5437
- Fax
- (910) 406-4111
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
58 Physicians Dr NW Ste 106
Supply, NC 28462-4216
Mailing address
58 Physicians Dr NW Ste 105
Supply, NC 28462-4216
Phone (703) 999-7678
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Hands Occupational Therapy | Past | Accepting new patients | |
| Fleming Therapy Services, LLC | Occupational Therapist | Past | 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.
-
- Pediatric Occupational Therapist
- Supply, NC
- NPI 1235188780
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1902689623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 105",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "703-999-7678",
"fax_number": "910-406-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 106",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624216",
"telephone_number": "910-755-5437",
"fax_number": "910-406-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUCK",
"first_name": "MORGAN",
"middle_name": "MARIE",
"credential": "DR.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Supply, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.