Provider Demographics
NPI:1861705170
Name:MORGAN, NICOLE ANNETTE (OTR, CAPS)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANNETTE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:OTR, CAPS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:ANNETTE
Other - Last Name:NEWTOWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 SHADY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-5076
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 N TRAVIS ST STE A
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3769
Practice Address - Country:US
Practice Address - Phone:903-892-3222
Practice Address - Fax:903-892-9444
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109869225X00000X, 225XE0001X, 225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology