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

Magnolia Pediatric Therapy, LLC

Organization Occupational Therapist · NPI 1689176323

Magnolia Pediatric Therapy, LLC is an Occupational Therapist in Madison, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
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

239 Clark Farms Rd
Madison, MS 39110-8115
Phone: (601) 519-8930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1767 (MS)

Record details

NPI number1689176323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Austin — Occupational Therapist · (601) 519-8930
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018
Mailing address239 Clark Farms Rd, Madison, MS 39110-8115

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