Individual provider Active NPI

Mae Ian Regis Morley, OTR

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1922216951
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10425 Chestnut Dr
Kansas City, MO 64137-3201
Phone
(417) 793-3824
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

10425 Chestnut Dr
Kansas City, MO 64137-3201

Mailing address

7721 W 97TH Ter
Overland Park, KS 66212-2337
Phone (417) 793-3824

Other practice location 1

214 W 5th St
Suite D and E
Joplin, MO 64801-2501
Phone (417) 782-2917

Other names 1

  • Mae Ian Tallo Regis Former name

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1922216951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 W 97TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122337",
            "telephone_number": "417-793-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 CHESTNUT DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641373201",
            "telephone_number": "417-793-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 W 5th St",
            "address_2": "Suite D and E",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648012501",
            "country_code": "US",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORLEY",
        "first_name": "MAE IAN",
        "middle_name": "REGIS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE IAN",
            "last_name": "REGIS",
            "middle_name": "TALLO",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.