Natylon Nicole Anderson, OTR/L
Individual provider Active NPI Occupational Therapist · Ridgeland, MS
NPI 1104975192 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1104975192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1926 (MS)
- Practice address
- 711 Avignon Dr
Ridgeland, MS 39157-5120 - Phone
- (601) 605-6777
- Fax
- (601) 605-8869
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1926 | MS | MD | Environmental Modification Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolytan | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | OT1926 | MS | |
| Occupational Therapist | 225X00000X | OT1926 | MS | Yes |
Addresses
Primary practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Mailing address
1503 Lawndale Dr
Tupelo, MS 38801-6133
Phone (662) 842-4320
Other names
- Ms. Natylon Nicole Lee
Other providers in Ridgeland, MS
- American Sleep Associates, Inc
- Gitanjali Anbalagan
- Anchoring Hearts Healthcare LLC
- Dorothy Jeffries Anderson
- Kathryn Anderson
- Sharhonda Michelle Anderson
- Ariel Catheryne Anderton
- Rachel Thomas Anderton
- Andre Curry
- Karla Andress
All providers in Ridgeland, 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 Jan 4, 2024. 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.