Amber Lupo, OTD/S

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1620 Highway 11 N Ste C
Picayune, MS 39466-2070

Phone

(769) 242-2626

Fax

(769) 242-2685

NPI assigned

Mar 19, 2025

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Southern Physical Therapy Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Picayune, MS
  • NPI 1801370929

  LA, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1639979404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Central Ave W",
            "address_purpose": "LOCATION",
            "city": "Wiggins",
            "state": "MS",
            "postal_code": "395772401",
            "country_code": "US",
            "telephone_number": "601-716-3196",
            "fax_number": "601-974-9919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 Gause Blvd Ste 107&108",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583000",
            "country_code": "US",
            "telephone_number": "985-201-7032",
            "fax_number": "985-307-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPO",
        "first_name": "AMBER",
        "credential": "OTD/S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Rachelle Lumpkin-Freeman, FNP-C
• Reta Virginia Lumpkin, CFNP
• Cari Thawn Macdonald, FNP
• Pierre Madere
• Magnolia Personal Care Home
• Magnolia Urgent Care
• Manna Ministries

• Occupational Therapist in Picayune, MS
• Providers in Picayune, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.