Organization Active NPI

North Mississippi Hand Therapy

  • Occupational Therapist
  • Oxford, MS
National Provider Identifier
1467856294
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1383 Issued in MS
Legal business name
NORTH MISSISSIPPI HAND THERAPY
Practice address
1204 Office Park Dr Ste C
Oxford, MS 38655-3597
Phone
(662) 281-0022
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Leslie Macon ObryanNPI 1487733473
Title
Owner
Phone
(662) 281-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT1383 MS Primary

Addresses

Primary practice location

1204 Office Park Dr Ste C
Oxford, MS 38655-3597

Mailing address

1204 Office Park Dr Ste C
Oxford, MS 38655-3597

Other names 1

  • Oxford Hand Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150113002316 MS Part B Supplier - Clinic/Group Practice 4789908138 Receives reassigned benefits from 5 practitioners
Practice locations: Batesville, MS; Oxford, MS
O20160713002715 MS DME Supplier - Independently-Practicing Occupational Therapist 4789908138 Practice locations: Oxford, MS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
North Mississippi Hand Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

187 Highway 51 S
Batesville, MS 38606
Phone (662) 281-0022

1204 Office Park Dr
#C
Oxford, MS 38655
Phone (662) 281-0022

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1467856294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 OFFICE PARK DR STE C",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 OFFICE PARK DR STE C",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553597",
            "telephone_number": "662-281-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI HAND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "OBRYAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MACON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-281-0022"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Hand Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.