Foster Maurice Allen

Individual provider Active NPI Occupational Therapy Assistant · Ridgeland, MS

NPI 1801779293 · NPPES record last updated Jul 31, 2025

Key facts

NPI
1801779293
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA3494 (MS)
Practice address
PO Box 315
Ridgeland, MS 39158-0315
Phone
(601) 206-9195
Fax
(601) 957-8391
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA3494MSMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehabilitation Inc Occupational Therapy Assistant Past
since Aug 3, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA3494 MS Yes

Addresses

Primary practice location

PO Box 315
Ridgeland, MS 39158-0315

Mailing address

PO Box 315
Ridgeland, MS 39158-0315
Phone (601) 206-9195

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Occupational Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.