Claire Elise Lyons, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Saltillo, MS
NPI 1144934654 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1144934654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3530 (MS)
- Practice address
- 143 Willowbrook Dr Ste C
Saltillo, MS 38866-6896 - Phone
- (662) 269-2880
- Fax
- (662) 269-3221
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230318000128 | MS | Practitioner - Occupational Therapist in Private Practice | 2466826292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3530 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Rehabilitation, LLC | Current |
Accepting new patients |
Locations
668 Hodges Dr
Mantachie, MS 38855
Phone (662) 405-3075
143 Willowbrook Dr
#C
Saltillo, MS 38866
Phone (662) 269-2880
131 Willowbrook Dr
Saltillo, MS 38866
Phone (662) 269-2880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3530 | MS | Yes |
Addresses
Primary practice location
143 Willowbrook Dr Ste C
Saltillo, MS 38866-6896
Mailing address
PO Box 165
Saltillo, MS 38866-0165
Other providers in Saltillo, MS
- Jennifer K Kendrick
- James Bryson Kimbrough
- Jessica Patterson Koon
- Anna Katherine Lansdell
- Lynd Clinical, Inc.
- Martin Dental Clinic PA
- Jenifer Ashley Martin
- Walter Neal Martin, Jr.
- Victoria Mascagni
- William C McCain
All providers in Saltillo, 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 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.