Individual provider Active NPI

Elisabeth Geimer Threadgill, OT

  • Occupational Therapist
  • Oxford, MS
National Provider Identifier
1427841733
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-4217 Issued in MS
Practice address
169 Highway 6 East Suite 102
Oxford, MS 38655
Phone
(662) 380-5030
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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-4217 MS Primary

Addresses

Primary practice location

169 Highway 6 East Suite 102
Oxford, MS 38655

Mailing address

151 Oxmoor RDG
Oxford, MS 38655-6034
Phone (601) 942-7074

Other names 1

  • Elisabeth Kammer Geimer Former name

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-4217MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Ms Outpatient Therapy Occupational Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

169 Highway 6 E
Ste 102
Oxford, MS 38655
Phone (662) 380-5030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1427841733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 OXMOOR RDG",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556034",
            "telephone_number": "601-942-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HIGHWAY 6 EAST SUITE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-380-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREADGILL",
        "first_name": "ELISABETH",
        "middle_name": "GEIMER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT-4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "GEIMER",
            "middle_name": "KAMMER",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.