NPIMap

Organization Active NPI

Creative Occupational Therapy Soultions1074212

  • Early Intervention Provider Agency
  • Leland, MS
National Provider Identifier
1609240621
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT1508 Issued in MS
Legal business name
CREATIVE OCCUPATIONAL THERAPY SOULTIONS1074212
Practice address
103 Peninsula Dr
Leland, MS 38756-3019
Phone
(662) 428-7572
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Mrs. Betsy Claire Neill-Irwin, MOT, OTR/LNPI 1750756680
Title
President
Phone
(662) 428-7572

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
Early Intervention Provider Agency 252Y00000X OT1508 MS Primary

Addresses

Primary practice location

103 Peninsula Dr
Leland, MS 38756-3019

Mailing address

103 Peninsula Dr
Leland, MS 38756-3019
Phone (662) 428-7572

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1609240621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PENINSULA DR",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563019",
            "telephone_number": "662-428-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PENINSULA DR",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387563019",
            "telephone_number": "662-428-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OCCUPATIONAL THERAPY SOULTIONS1074212",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "NEILL-IRWIN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-428-7572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MS",
            "license": "OT1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.