Organization Active NPI

Wesson Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Corinth, MS
National Provider Identifier
1902322068
Registry record updated Aug 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT2500 Issued in MS
Legal business name
WESSON THERAPY SERVICES, LLC
Practice address
1101 E 12TH St
Corinth, MS 38834-2658
Phone
(662) 872-9156
NPI assigned
Aug 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2017

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

Authorized official

Name
Ellen Wesson, OTR/L, CHT
Title
Owner, Occupational Therapist
Phone
(662) 872-9156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OT2500 MS Primary

Addresses

Primary practice location

1101 E 12TH St
Corinth, MS 38834-2658

Mailing address

1101 E 12TH St
Corinth, MS 38834-2658

Other identifiers 1

IdentifierTypeStateIssuer
1346557824MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503187200000",
    "number": "1902322068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E 12TH ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 12TH ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342658",
            "telephone_number": "662-872-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESSON THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A",
        "authorized_official_last_name": "WESSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "662-872-9156",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346557824",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; 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.