Mary Camille Powell, OT/L
Individual provider Active NPI Occupational Therapist · Saltillo, MS
NPI 1700923307 · NPPES record last updated Sep 1, 2015
Key facts
- NPI
- 1700923307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT0669 (MS)
- Practice address
- 2319 Highway 145
Saltillo, MS 38866-9199 - Phone
- (662) 869-9970
- Fax
- (662) 869-9980
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0669 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy | Occupational Therapist | Past | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0669 | MS | Yes |
Addresses
Primary practice location
2319 Highway 145
Saltillo, MS 38866-9199
Mailing address
2319 Hwy 145
Saltillo, MS 38866
Phone (662) 869-9970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07857321 | Medicaid | MS |
Other providers in Saltillo, MS
- Paige Grant Parker
- Samantha Parker
- Amanda Patterson
- Javous Peavey
- Amanda Lee Perry
- James B Raiford Jr.
- Hannah Grace Reeves
- James Matthew Rhinewalt
- Ritter & Backstrom Dentistry PLLC
- Ritter Family Dentistry PLLC
All providers in Saltillo, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.