MAGNOLIA PEDIATRIC THERAPY, LLC (NPI# 1689176323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689176323 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA PEDIATRIC THERAPY, LLC |
| Practice Address |
239 Clark Farms Rd Madison MS 39110-8115 |
| Practice Telephone | 6015198930 |
| Mailing Telephone | 6015198930 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | JAMIE AUSTIN (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6015198930 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1767 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346690740 | Magnolia Pediatric Therapy, LLC | Speech-Language Pathologist | 852 University Dr, Lake Charles, LA 70605-6120 | 2016-06-16 |
| Street Address |
239 CLARK FARMS RD |
| City | MADISON |
| State | MS |
| Zip Code | 39110-8115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780398 | Jenna Zavetz | Occupational Therapist | 1994 Gallatin Pike N Ste 202, Madison, TN 37115-2024 | 2020-08-14 |
| 1093357956 | Jill Sharon Broderick | Occupational Therapist | 37 Kings Rd Ste 101, Madison, NJ 07940-2500 | 2019-10-11 |
| 1265080444 | Meri Claire Soldevila | Occupational Therapist | 1820 August Bnd, Madison, MS 39110-6825 | 2019-08-30 |
| 1285287243 | Nancilynn Dickey | Occupational Therapist | 7712 Old Canton Rd Unit B, Madison, MS 39110-9299 | 2019-07-18 |
| 1770060964 | Sprout Pediatric Therapy, LLC | Occupational Therapist | 108 Serenity Way, Madison, MS 39110-6992 | 2018-07-20 |
| 1558855890 | Taylor Crawford Lee | Occupational Therapist | 7712 Old Canton Rd Ste B, Madison, MS 39110-9299 | 2018-06-20 |
| 1275027005 | Andrew Joseph Witmer | Occupational Therapist | 429 S Yellowstone Dr, Madison, WI 53719-1021 | 2018-06-15 |
| 1902308547 | Samantha Danz | Occupational Therapist | 1033 High St Apt 126, Madison, WI 53715-1928 | 2018-02-28 |
| 1578063657 | Noreen Annika Jeglum | Occupational Therapist | 501 N Whitney Way Apt 4, Madison, WI 53705-2745 | 2018-02-15 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in MADISON | ||||
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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.