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

Mrs. Dorothy Michele Fulgham, OT

Individual provider Occupational Therapist · NPI 1497718399

Mrs. Dorothy Michele Fulgham, OT is an Occupational Therapist in Private Practice in Kosciusko, Mississippi. Qualified in 2002, 24 years ago. Practices with Premier Medical Group of Mississippi LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

130 Parkway Plz
Kosciusko, MS 39090-3217
Phone: (662) 289-3588
Fax: (662) 289-2486
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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 OT1622 (MS)

Record details

NPI number1497718399
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESApril 8, 2013

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Premier Medical Group Of Mississippi Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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