OLIVIA PHILLIPS (NPI# 1912418419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912418419 |
| Entity Type | Individual |
| Full Name | OLIVIA PHILLIPS |
| Practice Address |
220 Highway 12 W Kosciusko MS 39090-3208 |
| Mailing Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 6012903270 |
| Practice Fax Number | 6012893499 |
| Mailing Telephone | 6012763900 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT3375 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154660504 | Olivia Delacey Phillips | Counselor | 1 Old Town Sq, Suite 200b, Fort Collins, CO 80524-2464 | 2013-02-05 |
| 1518401405 | Olivia Ann Phillips | Dietitian, Registered | 2800 S Shirlington Rd, #505, Arlington, VA 22206-3601 | 2016-12-12 |
| Street Address |
220 HIGHWAY 12 W |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475440 | Mary Katherine Lawrence | Nurse Practitioner | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2006-04-07 |
| 1730689647 | Heather Crouch | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2018-02-16 |
| 1295250926 | Cheyenne Hope Hedden | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2017-08-03 |
| 1629513437 | Kelly Kight | Occupational Therapist | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2017-01-03 |
| 1679025928 | Sandy Heath Cockrell | Occupational Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2016-11-02 |
| 1003272337 | Baptist Medical Center Attala LLC | Internal Medicine | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2015-12-31 |
| 1023481595 | Bmc - Attala, LLC | Family Medicine | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2015-11-05 |
| 1811373038 | Sarah Burns | Physical Therapy Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2015-08-11 |
| 1407103294 | Attala Emergency Group LLC | Physician Assistant | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2012-08-10 |
| 1811224009 | Hospital Care Consultants of Kosciusko | Hospitalist | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2009-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| 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 |
|---|---|---|---|---|
| 1093920522 | Sophie Champagne Black | Occupational Therapist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2007-05-10 |
| 1497718399 | Dorothy Michele Fulgham | Occupational Therapist | 130 Parkway Plz, Kosciusko, MS 39090-3217 | 2006-04-11 |
| 1588209530 | Emily Cook Gross | Occupational Therapist | 130 Parkway Plz, Kosciusko, MS 39090-3217 | 2019-11-14 |
| 1144736885 | Sarah Putt | Occupational Therapist | 130 Parkway Plz, Kosciusko, MS 39090-3217 | 2017-12-18 |
| 1629513437 | Kelly Kight | Occupational Therapist | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2017-01-03 |
| 1922458348 | Hannah Tingle | Occupational Therapist | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2016-06-16 |
| 1952653933 | Memorie Finnie | Occupational Therapist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2012-10-15 |
| 1477829182 | Imani Community Outreach Center | Occupational Therapist | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2012-03-27 |
| 1265729636 | Mylissa Hodges | Occupational Therapist | 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | 2011-07-06 |
| 1881658359 | Ray Scott Cockroft | Occupational Therapist | 130 Parkway Plaza, Kosciusko, MS 39090 | 2006-04-13 |
| Find all providers in KOSCIUSKO | ||||
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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.