Kristian A Mikell, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-3829 Issued in MS

Practice address

7 Rivers Dr
Ste 10
Hattiesburg, MS 39401

Phone

(601) 909-5006

Fax

(601) 909-5008

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristian A. Wilson Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment NPD
• Bright Steps Therapy LLC

  • Physical Therapist
  • Poplarville, MS
  • NPI 1245857978

  Occupational Therapist

  NPD
• Bright Steps Therapy LLC

  • Physical Therapist
  • Bogalusa, LA
  • NPI 1720931652

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104433168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393509121",
            "telephone_number": "601-650-0002",
            "fax_number": "601-650-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RIVERS DR",
            "address_2": "STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-909-5006",
            "fax_number": "601-909-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "KRISTIAN",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT-3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIAN",
            "last_name": "WILSON",
            "middle_name": "A.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Middleton & Belknap Pediatric Dentistry PLLC
• Andrew Scott Middleton, DMD
• Ashunte Middleton
• Darby Middleton
• Midtown Medical and Aesthetics
• Lauren Milam
• Ashley Harper Miles, NNP-BC
• Katie Michelle Miles, CTRS, MS, PCMHT
• Ryan Matthew Miles
• Frances L Miller, CMHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.