Morgan Leah Backes, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

31006158A Issued in IN

Practice address

6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868

Phone

(317) 405-9016

NPI assigned

Aug 18, 2016

Sex

Female

Sole proprietor

No

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 Specialty Associates, Inc

  • Early Intervention Provider Agency
  • Indianapolis, IN
  • NPI 1336212638
  NPD
• Pediatric Specialty Associates, Inc

  • Early Intervention Provider Agency
  • Indianapolis, IN
  • NPI 1346628492
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2020.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1982159976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204868",
            "telephone_number": "317-405-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 RUCKER RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204868",
            "telephone_number": "317-405-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6190 Central Blvd",
            "address_2": "Apt 108",
            "address_purpose": "LOCATION",
            "city": "Whitestown",
            "state": "IN",
            "postal_code": "460754433",
            "country_code": "US",
            "telephone_number": "317-840-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKES",
        "first_name": "MORGAN",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31006158A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Back, OTD, OTR/L
• Katherine Ann Back, NP
• Olivia Back
• Sherri Back
• Marie Backer
• Kevin M Backfish, MD
• Sougandhi Backhaus, PHD
• Haydee Backing, MD
• Doreen A Backus
• Benjamin Scott Bacon, MD

• All providers in Indianapolis, IN
• Pediatric Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.