IndividualActive
Mary Stewart, COTA
NPI 1295440220 · Occupational Therapy Assistant · Iuka, MS
Provider details
- NPI number
- 1295440220
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA-3891 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
503 Constitution Dr
Iuka, MS 38852-8605
Phone: (662) 424-9500
Street-level locationGet directions
Mailing address
503 Constitution Dr
Iuka, MS 38852-8605
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.