Regina Ann Scott, OTRL
Individual provider Active NPI Occupational Therapist · Florence, MS
NPI 1063544005 · NPPES record last updated May 21, 2013
Key facts
- NPI
- 1063544005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1201 (MS)
- Practice address
- 260 Barnes Rd
Florence, MS 39073-8066 - Phone
- (601) 845-0876
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211228001931 | CO | Practitioner - Occupational Therapist in Private Practice | 1557752656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Home Therapy | Occupational Therapist | Current |
Accepting new patients |
| Trail Blazin Therapy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1201 | MS | Yes |
Addresses
Primary practice location
260 Barnes Rd
Florence, MS 39073-8066
Mailing address
665 Holly Grove Cir
Braxton, MS 39044-2963
Phone (601) 847-0430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02759579 | Medicaid | MS |
Other providers in Florence, MS
- Derek Wade Puckett
- Norma M Raymond
- Laurie Robinson
- Abbey Ross
- Julian Sandifer Jr.
- Sally Day Sharp
- Bradley Keith Shields
- Roderick A Shields
- Simpson Community Healthcare, Inc
- Eleanor Smith
All providers in Florence, MS · 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 May 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.