Active NPI
Nikolas Doyle Carnathan, OTR/L
- Occupational Therapist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1521
- Practice address
- 499 Gloster Creek VLG
Suite I-3
Tupelo, MS 38801-4600 - Phone
- (662) 844-4471
- Fax
- (662) 844-4472
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- 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 | OT1521 | MS | Primary |
Addresses
Primary practice location
499 Gloster Creek VLG
Suite I-3
Tupelo, MS 38801-4600
Mailing address
499 Gloster Creek VLG
Suite I-3
Tupelo, MS 38801-4600
Phone (662) 844-4471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03784371 | Medicaid | MS |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2714 W Oxford Loop
Suite 164
Oxford, MS 38655-5714
Phone (662) 232-8949
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1521 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Functional Therapy Center, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949
105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977
Organizations & group practices 3
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.
-
dba Athletico Physical Therapy
- Clinic/Center
- Oxford, MS
- NPI 1477224814
Occupational Therapist
-
- Occupational Therapist
- Tupelo, MS
- NPI 1407847478
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437140415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG",
"address_2": "SUITE I-3",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014600",
"telephone_number": "662-844-4471",
"fax_number": "662-844-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG",
"address_2": "SUITE I-3",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014600",
"telephone_number": "662-844-4471",
"fax_number": "662-844-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNATHAN",
"first_name": "NIKOLAS",
"middle_name": "DOYLE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT1521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03784371",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- Caring Hands Health Care Services
- Caring Hands Healthcare
- Caring Heart Personal Care Services, LLC
- Desiree Wasinger Carnathan, M.ED.
- Dortha Leona Carnathan, NP
- Tareka Latricia Carney
- Richard A Caron, D.M.D., P.A
- David Alfred Carpenter, NCC, LPC
- Paula Anglin Carpenter, LMSW
- Cecilia Ann Carr, FNP-BC, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.