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

Individual provider Occupational Therapist · NPI 1023798733

Abigail Tidwell, OTD, OTR is an Occupational Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2023, 3 years ago. Practices with Sog Physical Therapy, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Mississippi.

Years since qualifying
3
Licensed in
CA, MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
Fax: (662) 432-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 E Main St Ste 104, El Cajon, CA 92021-5223 — (619) 873-2160

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4289 (MS)
Occupational Therapist Taxonomy 225X00000X · Licence 10356 (CA)

Record details

NPI number1023798733
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sog Physical Therapy — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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