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

Michael Alexander Pannell, OTR

Individual provider Hand Occupational Therapist · NPI 1083241442

Michael Alexander Pannell, OTR is an Occupational Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
7
Licensed in
AL, MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1670 McClure Cv
Tupelo, MS 38804-1209
Phone: (662) 205-8171
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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 OT3686 (MS)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence 5145 (AL)

Record details

NPI number1083241442
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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