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

Individual provider Occupational Therapist · NPI 1366199465

Thadeus Mixon is an Occupational Therapist in Private Practice in Chico, California. Qualified in 2020, 6 years ago. Practices with Alaska Aquatic Therapy, Inc, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2022
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Practice location Address checks out

2836 Marigold Ave
Chico, CA 95973-7624
Phone: (607) 377-2867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1366199465
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address746 Oyster Point Dr, Reedville, VA 22539-3605

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Alaska Aquatic Therapy, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chico