Jennifer Ros Craig, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Madison, MS
NPI 1003589896 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1003589896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT1361 (MS)
- Practice address
- 7712 Old Canton Rd
Madison, MS 39110-9299 - Phone
- (601) 427-5775
- Fax
- (601) 206-0668
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1361 | MS | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT1361 | MS | Yes |
Addresses
Primary practice location
7712 Old Canton Rd
Madison, MS 39110-9299
Mailing address
5110 Canton Heights Dr
Jackson, MS 39211-4515
Phone (601) 750-4493
Other providers in Madison, MS
- Flora Cooper
- Cornerstone Counseling
- Jan M Cossar
- Covenant Caregivers, LLC
- Sara Elizabeth Cox
- Madelyn Kelly Craig
- Kelli Conwill Cranford
- CRX Medical Group LLC
- John Dooley Culbertson
- Erin Elizabeth Curran
All providers in Madison, MS · Pediatric Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.