SOUTHERN PEDIATRIC THERAPY (NPI# 1063985885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063985885 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PEDIATRIC THERAPY |
| Practice Address |
1772 Carlee Dr Hernando MS 38632-8844 |
| Mailing Address |
Po Box 441 Hernando MS 38632-0441 |
| Practice Telephone | 6624692906 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | JENNIFER PACILEO (OWNER) |
| Authorized Official Telephone | 6624692906 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1772 CARLEE DR |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356822795 | Jennifer Pacileo | Occupational Therapist | 1772 Carlee Dr, Hernando, MS 38632-8844 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356822795 | Jennifer Pacileo | Occupational Therapist | 1772 Carlee Dr, Hernando, MS 38632-8844 | 2018-08-23 |
| 1225414717 | Through The Roof Pediatric Therapy | Occupational Therapist | 1145 Milam Ln, Hernando, MS 38632-7719 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322068 | Wesson Therapy Services, LLC | Occupational Therapist | 1101 E 12th St, Corinth, MS 38834-2658 | 2017-08-20 |
| 1508250184 | Simple Strokes Therapy Consultants, Pa | Occupational Therapist | 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 | 2015-03-23 |
| 1861894420 | Iesha Bridges Smith | Occupational Therapist | 170 E Griffith St Apt 209, Jackson, MS 39201-1396 | 2014-09-25 |
| 1982021515 | Martha Marie Willoughby | Occupational Therapist | 109 Honeysuckle Ave, Poplarville, MS 39470-2009 | 2014-03-20 |
| 1477981009 | Mable Annette Mcdonal | Occupational Therapist | 673 Baywood Pointe, Madison, MS 39110-9573 | 2013-10-16 |
| 1639427818 | Megan E Wood | Occupational Therapist | 4500 I 55 Frontage Rd N, #291, Jackson, MS 39211-5930 | 2012-08-20 |
| 1942517198 | Akeba M Jackson-harris | Occupational Therapist | 4813 Kreole Ave, Moss Point, MS 39563-3532 | 2010-09-09 |
| 1346557766 | Stephanie Amber Ledbetter | Occupational Therapist | 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671-9266 | 2010-09-07 |
| 1730400441 | Amy Green | Occupational Therapist | 9289 Plantation Oaks Dr, Olive Branch, MS 38654-6328 | 2010-06-16 |
| 1790012219 | Ashleigh H Greenhaw | Occupational Therapist | 115 W. Jackson Street, Suite F, Ridgeland, MS 39157 | 2009-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.