Individual provider Active NPI

Maria Madeline Tynes, OT

  • Occupational Therapist
  • Ridgeland, MS
National Provider Identifier
1740094507
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-3792 Issued in MS
Practice address
115 W Jackson St Ste 1D
Ridgeland, MS 39157-2428
Phone
(601) 853-9747
NPI assigned
Feb 3, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 OT-3792 MS Primary

Addresses

Primary practice location

115 W Jackson St Ste 1D
Ridgeland, MS 39157-2428

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-3792MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Dpti Elite Physical Therapy LLC CurrentSince Feb 3, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Benchmark Physical Therapy of Mississippi LLC Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Feb 3, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

115 W Jackson St
Ste 1D
Ridgeland, MS 39157
Phone (601) 853-9747

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1740094507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W JACKSON ST STE 1D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572428",
            "telephone_number": "601-853-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNES",
        "first_name": "MARIA",
        "middle_name": "MADELINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT-3792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.