Southern Pediatric Therapy
NPI 1063985885 · Pediatric Occupational Therapist · Hernando, MS
Southern Pediatric Therapy is a Pediatric Occupational Therapist organization in Hernando, MS (NPI 1063985885).
Provider details
- NPI number
- 1063985885
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Pacileo, Owner(662) 469-2906
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2019-01-03
Frequently asked questions
- What is Southern Pediatric Therapy's NPI number?
- Southern Pediatric Therapy's National Provider Identifier (NPI) is 1063985885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pediatric Therapy?
- Southern Pediatric Therapy is classified in the NPPES registry as Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Southern Pediatric Therapy located?
- Southern Pediatric Therapy's practice location on file with NPPES is 1772 Carlee Dr, Hernando, MS 38632-8844.
- What is Southern Pediatric Therapy's phone number?
- The practice phone number listed in the NPPES registry for Southern Pediatric Therapy is (662) 469-2906.
- Who is the authorized official for Southern Pediatric Therapy?
- The authorized official listed on Southern Pediatric Therapy's NPPES record is Jennifer Pacileo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pediatric Therapy's NPI active?
- Yes — Southern Pediatric Therapy's NPI (1063985885) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.