OrganizationActive
Magnolia Pediatric Therapy, LLC
NPI 1689176323 · Occupational Therapist · Madison, MS
Provider details
- NPI number
- 1689176323
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Austin, Occupational Therapist(601) 519-8930
- License
- OT1767 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
239 Clark Farms Rd
Madison, MS 39110-8115
Phone: (601) 519-8930
Street-level locationGet directions
Mailing address
239 Clark Farms Rd
Madison, MS 39110-8115
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2018-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.