Active NPI
Feshondra Fereca Mone Tripp, MOTR/L
- Occupational Therapist
- Canton, MS
National Provider Identifier
1174850192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3015
- Practice address
- 117 Brigade Ave
Canton, MS 39046-8025 - Phone
- (601) 720-5793
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3015 | MS | Primary |
Addresses
Primary practice location
117 Brigade Ave
Canton, MS 39046-8025
Mailing address
117 Brigade Ave
Canton, MS 39046-8025
Phone (601) 720-5793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230224001675 | MS | Practitioner - Occupational Therapist in Private Practice | 2264805035 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healing Hands Rehabilitation Services LLC
Practice addresses (Care Compare)
105 Lexington Dr
Suite H
Gluckstadt, MS 39110-6646
Phone (601) 910-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Healing Hands Rehabilitation Services, LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Healing Hands Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
105 Lexington Dr
Ste H
Gluckstadt, MS 39110
Phone (601) 910-7300
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Madison, MS
- NPI 1346629920
MS
-
- Behavior Analyst
- Gluckstadt, MS
- NPI 1609691963
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1174850192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 BRIGADE AVE",
"city": "CANTON",
"state": "MS",
"postal_code": "390468025",
"telephone_number": "601-720-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 BRIGADE AVE",
"city": "CANTON",
"state": "MS",
"postal_code": "390468025",
"telephone_number": "601-720-5793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "FESHONDRA",
"middle_name": "FERECA MONE",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT3015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.