Individual provider Active NPI

Heidi Dryden Molaison, OTR/L

  • Occupational Therapist
  • Picayune, MS
National Provider Identifier
1073145272
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-331 Issued in MS
Practice address
114 Goodyear Blvd
Picayune, MS 39466-3307
Phone
(601) 215-3267
Fax
(601) 255-8626
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-331 MS Primary

Addresses

Primary practice location

114 Goodyear Blvd
Picayune, MS 39466-3307

Mailing address

141 N Hill Dr
Carriere, MS 39426-8129
Phone (601) 215-3267

Other practice location 1

1337 Gause Blvd Ste 107&108
Slidell, LA 70458-3000
Phone (769) 242-2626

Other practice location 2

1620 Highway 11 N Ste E
Picayune, MS 39466-2070
Phone (769) 242-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200305001818 MS Practitioner - Occupational Therapist in Private Practice 3577990431 Reassigns benefits to 1 organization
I20240718002780 LA Practitioner - Occupational Therapist in Private Practice 3577990431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Physical Therapy Clinic IncGroup PAC ID 6103167184, 13 clinicians

Practice addresses (Care Compare)

1337 Gause Blvd
Suite 107And108
Slidell, LA 70458-3000
Phone (985) 201-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-331MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Physical Therapy Clinic, Inc. Occupational Therapist CurrentSince Feb 3, 2020 Accepting new patients
Creekside Pediatric Therapy LLC Occupational Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

1337 Gause Blvd
Ste 107108
Slidell, LA 70458
Phone (769) 242-2626

1620 Highway 11 N
Ste C
Picayune, MS 39466
Phone (769) 242-2626

114 Goodyear Blvd
Picayune, MS 39466
Phone (601) 735-8987

1620 Highway 11 N
Ste E
Picayune, MS 39466
Phone (769) 242-2626

1601 Central Ave W
Wiggins, MS 39577
Phone (601) 716-3196

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1073145272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N HILL DR",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268129",
            "telephone_number": "601-215-3267",
            "fax_number": "601-255-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GOODYEAR BLVD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663307",
            "telephone_number": "601-215-3267",
            "fax_number": "601-255-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 Gause Blvd Ste 107&108",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583000",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "985-307-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Highway 11 N Ste E",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662070",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLAISON",
        "first_name": "HEIDI",
        "middle_name": "DRYDEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT-331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.