Individual provider Active NPI

Madison Casey Dye

  • Occupational Therapist
  • Southaven, MS
National Provider Identifier
1659911246
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT3728 Issued in MS
Practice address
5271 Getwell Rd # Suittea
Southaven, MS 38672-9608
Phone
(662) 349-3512
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT3728 MS Primary

Addresses

Primary practice location

5271 Getwell Rd # Suittea
Southaven, MS 38672-9608

Mailing address

5271 Getwell Rd
Southaven, MS 38672-9608
Phone (901) 870-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT3728MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Moye Inc. CurrentSince Jan 12, 2020 Accepting new patients

Locations

5271 Getwell Rd
Southaven, MS 38672
Phone (662) 510-5694

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1659911246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "901-870-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD # SUITTEA",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "662-349-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "MADISON",
        "middle_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.