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

Southern Pediatric Therapy

Organization Pediatric Occupational Therapist · NPI 1063985885

Southern Pediatric Therapy is a Pediatric Occupational Therapist in Hernando, Mississippi. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1772 Carlee Dr
Hernando, MS 38632-8844
Phone: (662) 469-2906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1063985885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Pacileo — Owner · (662) 469-2906
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJanuary 3, 2019
Mailing addressPo Box 441, Hernando, MS 38632-0441

Other providers in Hernando