Autumn Tamor

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

AUTUMN TAMOR

Practice address

116 Marketridge Dr
Ridgeland, MS 39157-6009

Phone

(601) 345-1784

NPI assigned

Jun 26, 2025

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn Tamor, OTNPI 1043991896

Title

Owner

Phone

(601) 345-1784

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Autumn B Tamor, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Ridgeland, MS
  • NPI 1043991896

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1225926272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 POPLAR BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022110",
            "telephone_number": "601-345-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MARKETRIDGE DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576009",
            "telephone_number": "601-345-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN TAMOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "TAMOR",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-345-1784",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Dental of Ridgeland, PLLC
• Mohammad Athar, M.D.
• Chad Wesley Atkins, OT
• Alisha Branley Atwood, COTA
• Rachel Divine Atwood, OT
• Jonathan Louis Baggett, PTA
• Katherine E Baggett, LPC
• Jessica Bailey, SLP
• Amanda Baker
• Gagandeep Bal

• Pediatric Occupational Therapist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Pediatric Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.