Active NPI
Katherine Michele Morrissey, OTD
- Occupational Therapist
- Knoxville, IL
National Provider Identifier
1912550302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 800 N Market St
Knoxville, IL 61448-1097 - Phone
- (309) 289-2338
- NPI assigned
- Jul 24, 2019
- Last updated
- Jul 24, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
800 N Market St
Knoxville, IL 61448-1097
Mailing address
69 Cobblestone LN
Le Claire, IA 52753-9249
Phone (309) 251-9758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095541405 | Other | IL | UNITED HEALTH ONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1912550302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 COBBLESTONE LN",
"city": "LE CLAIRE",
"state": "IA",
"postal_code": "527539249",
"telephone_number": "309-251-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MARKET ST",
"city": "KNOXVILLE",
"state": "IL",
"postal_code": "614481097",
"telephone_number": "309-289-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "KATHERINE",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH ONE",
"identifier": "095541405",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.