Ashley Katrice Phillips, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3628 Issued in MS

Practice address

111 Chase St
Byhalia, MS 38611-7395

Phone

(662) 838-3670

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Meridian, MS
  • NPI 1508538810
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1902512692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BURKS DR",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653625",
            "telephone_number": "662-473-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117395",
            "telephone_number": "662-838-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ASHLEY",
        "middle_name": "KATRICE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikisha Newsom, FNP
• Nexion Health at Byhalia, Inc. (Great Oaks Rehabilitation and Healthcare Center)
• North Mississippi Foot Specialists PC
• Northeast Mississippi Health Care, Inc. (Byhalia Family Health Center - Medical)
• Northeast Ms Health Care, Inc. (Byhalia Family Health Center - Dental)
• Merlanda Y Powell, LCSW
• Kathryn Claire Pruitt, APN
• Kena Aneyshia Rayford
• Tirra Ronetta Rayford
• Robert Lee McLeroy (Diabetic Store and More)

• Occupational Therapist in Byhalia, MS
• Providers in Byhalia, 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 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.