Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dandelion Pediatric Therapy, LLC

Organization Occupational Therapy Assistant · NPI 1053080382

Dandelion Pediatric Therapy, LLC is an Occupational Therapy Assistant in Madison, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Stillhouse Creek Dr
Madison, MS 39110-6943
Phone: (601) 826-2609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Occupational Therapy Assistant Taxonomy 224Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Assistant Taxonomy 2355S0801X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1053080382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Buck — Sole Member · (601) 826-2609
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing addressPo Box 415, Madison, MS 39130-0415

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