MAUREEN H MORDICK CTRS NPI 1134492010

NPI Information

  • NPI: 1134492010
  • Provider Name: MAUREEN H MORDICK, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 640 JACKSON ST
    MAILSTOP 11102D
    SAINT PAUL, MN
    ZIP 55101
  • Phone: (651) 254-5540

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NPI Details

Maureen H Mordick, CTRS is a recreation therapist in Saint Paul, MN. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Maureen H Mordick, CTRS NPI is 1134492010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

640 JACKSON ST
MAILSTOP 11102D
SAINT PAUL, MN
ZIP 55101-502
Phone: (651) 254-5540

The enumeration date for this NPI number is 2/22/2012 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist28403Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128403OTHERNCTRC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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