Creekside Pediatric Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CREEKSIDE PEDIATRIC THERAPY LLC

Practice address

114 Goodyear Blvd
Picayune, MS 39466-3307

Phone

(601) 215-3267

Fax

(601) 255-8626

NPI assigned

Dec 16, 2024

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi MolaisonNPI 1073145272

Title

Occupational Therapist/Owner

Phone

(985) 232-2832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Dryden Molaison, OTR/L

  • Occupational Therapist
  • Picayune, MS
  • NPI 1073145272
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1093522807",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "CREEKSIDE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "MOLAISON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "985-232-2832"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Home Care Pharmacy Inc. (Failla's Vital Care)
• Jaime Conerly-Sylvas, PHARM D
• Nicole Cousin
• Covenant Health & Rehab of Picayune, LLC
• Covenant Health & Rehab of Picayune, LP
• Robert Joseph Crochet III, PT, DPT
• Timothy James Cuevas
• Cynthia V Aly- Jean-Pierre
• Joseph J Daho, DDS
• Dirk H. Danielson, MD

• Occupational Therapist in Picayune, MS
• Providers in Picayune, MS by specialty
• Occupational Therapist in Mississippi

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.