Active NPI
Casey Lafontaine, OT
- Occupational Therapist
- Picayune, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1620 Highway 11 N Ste C
Picayune, MS 39466-2070 - Phone
- (769) 242-2626
- Fax
- (769) 242-2685
- NPI assigned
- Aug 21, 2024
- Last updated
- Aug 21, 2024
- 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 | NU | Primary |
Addresses
Primary practice location
1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Mailing address
1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone (769) 242-2626
Other practice location 1
1601 Central Ave W
Wiggins, MS 39577-2401
Phone (601) 716-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 Hwy 11 N
Suite C
Picayune, MS 39466-2070
Phone (769) 242-2626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Physical Therapy Clinic, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
1620 Highway 11 N
Ste C
Picayune, MS 39466
Phone (769) 242-2626
1601 Central Ave W
Wiggins, MS 39577
Phone (601) 716-3196
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Picayune, MS
- NPI 1801370929
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1356174833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 HIGHWAY 11 N STE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662070",
"telephone_number": "769-242-2626",
"fax_number": "769-242-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 HIGHWAY 11 N STE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394662070",
"telephone_number": "769-242-2626",
"fax_number": "769-242-2685"
}
],
"practiceLocations": [
{
"address_1": "1601 Central Ave W",
"address_purpose": "LOCATION",
"city": "Wiggins",
"state": "MS",
"postal_code": "395772401",
"country_code": "US",
"telephone_number": "601-716-3196",
"fax_number": "601-974-9919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFONTAINE",
"first_name": "CASEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.