OrganizationActive
Live, Learn, Grow - Pediatric Therapy Solutions, LLC
NPI 1255005203 · Occupational Therapist · Brandon, MS
Provider details
- NPI number
- 1255005203
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Nichols, Owner(662) 820-8732
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
906 Tetbury Pl
Brandon, MS 39047-9274
Phone: (662) 820-8732
Fax: (601) 202-9606
Street-level locationGet directions
Mailing address
906 Tetbury Pl
Brandon, MS 39047-9274
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.