MARTHA MARIE WILLOUGHBY (NPI# 1982021515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982021515 |
| Entity Type | Individual |
| Full Name | MARTHA MARIE WILLOUGHBY |
| Other Name | MS. M MARIE WILLOUGHBY |
| Credential | MS, OT |
| Practice Address |
109 Honeysuckle Ave Poplarville MS 39470-2009 |
| Practice Telephone | 6019165741 |
| Mailing Telephone | 6019165741 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT2125 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
OT2125 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
109 HONEYSUCKLE AVE |
| City | POPLARVILLE |
| State | MS |
| Zip Code | 39470-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735723 | Clarence Donald Case Jr. | Psychologist | Pearl River Family and Behavioral Health Clinic, 302 Hwy 11 S, Poplarville, MS 39470 | 2020-09-18 |
| 1285061895 | Freds Stores of Tennessee Inc | Pharmacy | 1388 South Main Street, Poplarville, MS 39470 | 2013-09-27 |
| 1972814127 | Grace Healthcare Dme | Durable Medical Equipment & Medical Supplies | 300 Highway 11, Suite D, Poplarville, MS 39470 | 2010-06-23 |
| 1881837128 | Cirila Reyes | Family Medicine | 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 | 2009-04-16 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1053450320 | Pearl River County Hospital | General Acute Care Hospital | 305 West Moody Street, Poplarville, MS 39470 | 2007-02-05 |
| 1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
| 1669527503 | Kelvie Culpepper | Chiropractor | 859 Hwy 26 West, Poplarville, MS 39470 | 2007-01-23 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
| 1831209477 | Ryan W Woods | Physical Therapist | 1403 South Main Street, Suite E, Poplarville, MS 39470 | 2006-08-30 |
| Find all providers in zip 39470 | ||||
| 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 |
| 1902322068 | Wesson Therapy Services, LLC | Occupational Therapist | 1101 E 12th St, Corinth, MS 38834-2658 | 2017-08-20 |
| 1225414717 | Through The Roof Pediatric Therapy | Occupational Therapist | 1145 Milam Ln, Hernando, MS 38632-7719 | 2015-08-06 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | POPLARVILLE |
| Zip Code | 39470 |
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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.