MS. LYDIA S. MITCHELL (NPI# 1609994086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609994086 |
| Entity Type | Individual |
| Full Name | MS. LYDIA S. MITCHELL |
| Credential | COTA |
| Practice Address |
23 Mason St Laurel MS 39440-4437 |
| Mailing Address |
11 Canebrake Blvd Hattiesburg MS 39402-8703 |
| Practice Telephone | 6013990534 |
| Mailing Telephone | 6012681487 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | TA1537 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553456 | Lydia Mitchell | Behavior Technician | 15 South St, Hudson, MA 01749-2205 | 2019-05-17 |
| Street Address |
23 MASON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
| 1568007045 | Natalie Day Gibbes | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-11-08 |
| 1003466210 | Kirk L Landrum | Specialist/Technologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-09-19 |
| 1114141975 | Sherri Leigh Forehand | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-04-12 |
| 1326165093 | Carrie Elizabeth Freeman | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
| 1871619528 | Marsha Diane Boyd | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-22 |
| 1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
| 1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
| 1427181411 | Jessica Rose Braddock | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-13 |
| 1225160591 | Alexandra Carter O'neal | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285174110 | Douglas Fischer | Occupational Therapy Assistant | 10981 Johns Hopkins Rd Ste 210, Laurel, MD 20723-6002 | 2017-02-25 |
| 1396121216 | Haroon Alam | Occupational Therapy Assistant | 7303 Caledon Ct, Laurel, MD 20707-6904 | 2015-08-03 |
| 1669683389 | Gail Hilseberg Deitsch | Occupational Therapy Assistant | 14502 Greenview Drive, Suite 406, Laurel, MD 20708 | 2007-05-24 |
| 1861519324 | Bonnie L. Mcdaniel | Occupational Therapy Assistant | 165 Delaware Ave, Laurel, DE 19956-1181 | 2007-03-22 |
| 1801429675 | Michelle Suzanne Boydston-mulholland | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2020-02-19 |
| 1174089072 | Charlene Denise Ellison | Occupational Therapy Assistant | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2019-02-15 |
| 1437615622 | Courtney King | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2019-02-13 |
| 1467916312 | Jysseka Purdue | Occupational Therapy Assistant | 14409 Greenview Dr Ste 102, Laurel, MD 20708-4213 | 2019-01-24 |
| 1831624840 | Teresa Dibattista | Occupational Therapy Assistant | 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | 2017-04-27 |
| 1255682126 | Judith Christie Marrah | Occupational Therapy Assistant | 14409 Greenview Dr, Ste 102, Laurel, MD 20708-3293 | 2012-10-02 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.