Healthcare Provider Details

I. General information

NPI: 1306460183
Provider Name (Legal Business Name): MORGAN SCHULZ OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9902 ILLINOIS RD
FORT WAYNE IN
46804-5770
US

IV. Provider business mailing address

4251 LAHMEYER RD
FORT WAYNE IN
46815-5676
US

V. Phone/Fax

Practice location:
  • Phone: 260-969-8992
  • Fax:
Mailing address:
  • Phone: 260-432-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31006952A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: