Individual provider Active NPI

Marquita Le'Ann McIntosh, OTD, OTR/L

  • Occupational Therapist
  • Poplarville, MS
National Provider Identifier
1174394456
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-4099 Issued in MS
Practice address
1227 S Main St
Poplarville, MS 39470-3317
Phone
(601) 746-5101
Fax
(601) 746-5102
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-4099 MS Primary

Addresses

Primary practice location

1227 S Main St
Poplarville, MS 39470-3317

Mailing address

PO Box 956
Poplarville, MS 39470-0956
Phone (601) 746-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-4099MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Steps Therapy LLC Occupational Therapist CurrentSince Jan 21, 2024 Accepting new patients
Bright Steps Therapy LLC Occupational Therapist PastSince Jan 21, 2024 Accepting new patients

Locations

1227 S Main St
Poplarville, MS 39470
Phone (601) 365-9868

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1174394456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394700956",
            "telephone_number": "601-746-5101",
            "fax_number": "601-746-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703317",
            "telephone_number": "601-746-5101",
            "fax_number": "601-746-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MARQUITA",
        "middle_name": "LE'ANN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT-4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.