Takisha Kayon Sanders, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3722 Issued in MS

Practice address

5130 Wedgewood Dr
Olive Branch, MS 38654-6616

Phone

(912) 308-8143

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Takisha Stallings-Richards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262

  Occupational Therapist

  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1497391106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 WE ROSS PKWY APT 50-201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717003",
            "telephone_number": "912-308-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 WEDGEWOOD DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546616",
            "telephone_number": "912-308-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TAKISHA",
        "middle_name": "KAYON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAKISHA",
            "last_name": "STALLINGS-RICHARDS",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margo Gronauer Saharovici, MD
• Rami Sakaan
• Salty and Light Transportations, LLC
• Ashley Prevost Salvaggio, MD
• Melissa Samsel, PHARM D
• Christine M Sandridge
• Pamela Saulsberry Jones, RN
• Scott G. Leeka Dba Alternative Medical Solutions
• Robert L Scott, LMFT
• Seeds of Joy Academy, LLC

• Occupational Therapist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.