Robert Bishop, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0493 Issued in MS

Practice address

16 Office Park Drive
Suite 21
Hattiesburg, MS 39402

Phone

(601) 296-9191

Fax

(601) 296-9190

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Magnolia Healthcare Rehabilitation Services

  • Physical Therapist
  • Hattiesburg, MS
  • NPI 1679668784

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1841385481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16325",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046325",
            "telephone_number": "601-296-9191",
            "fax_number": "601-296-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OFFICE PARK DRIVE",
            "address_2": "SUITE 21",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-296-9191",
            "fax_number": "601-296-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ROBERT",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03389700",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00062876",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylora L Bingham, FNP-C
• Bioscrip Medical Supply Services, LLC
• Kendrice Raven Birdsong
• Kyle Birdwell, LCSW
• Curtis Mathew Bishop, D.M.D., MD
• William Bryan Bishop III, DO
• Imad Bitar, MD
• Robin Bixler, LPC
• Donna Maria Black, LCSW
• Blackwater Medical LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.