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

Mr. Marcus Lydell Harris, OTR/L

Individual provider Occupational Therapist · NPI 1508104472

Mr. Marcus Lydell Harris, OTR/L is an Occupational Therapist in Private Practice in Ridgeland, Mississippi. Graduated from University of Mississippi School of Medicine in 2012, 14 years ago. Practices with Elite Performance and Rehab, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 607-1553
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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 OT2696 (MS)

Record details

NPI number1508104472
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 28, 2013
Last updated in NPPESJanuary 28, 2013

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Elite Performance And Rehab, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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