Natylon Nicole Anderson, OTR/L
NPI 1104975192ActiveIndividual· Occupational Therapist· Ridgeland, MS
Occupational Therapist (OTR/L) in Ridgeland, Mississippi, licensed in MS, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1104975192 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Jan 9, 2007 |
| Last updated in NPPES | Jan 4, 2024 |
| Certified by provider | Jan 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT1926 | MS |
| Occupational Therapist, Environmental Modification | 225XE0001X | OT1926 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MS) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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