Individual provider Active NPI

Tyrice Cartwright

  • Physical Rehabilitation Occupational Therapist
  • Olive Branch, MS
National Provider Identifier
1124316914
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
2819 Issued in MS
Practice address
7579 Wisteria Dr
Olive Branch, MS 38654-6982
Phone
(615) 717-7471
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 4353 TN
Physical Rehabilitation Occupational Therapist 225XP0019X 2819 MS Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 2432 AR

Addresses

Primary practice location

7579 Wisteria Dr
Olive Branch, MS 38654-6982

Mailing address

7579 Wisteria Dr
Olive Branch, MS 38654-6982
Phone (615) 717-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028002093 MS Practitioner - Occupational Therapist in Private Practice 0143585281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 S 9TH St
Suite 4
Noblesville, IN 46060-2631

500 W Jefferson St
Louisville, KY 40202-2881

7579 Wisteria Dr
Olive Branch, MS 38654-6982

PO Box
Suite 69211
Baltimore, MD 21264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4353TNMDPharmacist
2819MSMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Sep 16, 2025 Accepting new patients
CTS,LLC Physical Rehabilitation Current Accepting new patients

Locations

100 Azalea Dr
Oxford, MS 38655
Phone (662) 234-9600

Organizations & group practices 3

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1124316914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 WISTERIA DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546982",
            "telephone_number": "615-717-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 WISTERIA DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546982",
            "telephone_number": "615-717-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "TYRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TN",
            "license": "4353",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MS",
            "license": "2819",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AR",
            "license": "2432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.