- Occupational Therapist in Tougaloo, MS

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is a Occupational Therapist based in Tougaloo, Mississippi. is licensed to practice in Mississippi (license number OT2019) and their current practice location is 500 W County Line Rd, Tougaloo, Mississippi. It can be reached at their office (for appointments etc.) via phone at (601) 636-6019.

NPI number for is 1548322951 and their current mailing address is Po Box 3183, Ridgeland, Mississippi. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1548322951.

Contact Information

500 W County Line Rd,
Tougaloo, MS 39174-9700
(601) 636-6019
(601) 661-8457

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOccupational Therapist
Location500 W County Line Rd, Tougaloo, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548322951
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548322951NPI-NPPES
02900724MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT3573 (Mississippi)Primary
225X00000XOccupational Therapist OT2019 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 3183,
Ridgeland, MS 39158-3183

Ph: (601) 636-6019
500 W County Line Rd,
Tougaloo, MS 39174-9700

Ph: (601) 636-6019

Reviews and Comments


Occupational Therapist in Tougaloo, MS


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.