IndividualActive
Angela Nelson
NPI 1700037363 · Occupational Therapy Assistant · Jackson, MS
Provider details
- NPI number
- 1700037363
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA1739 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4607 Lindbergh Dr
Jackson, MS 39209-3855
Phone: (601) 250-4815
Street-level locationGet directions
Mailing address
416 Woodstone Rd
Clinton, MS 39056-4919
Registry dates
- Enumerated
- 2008-10-01
- Last updated
- 2008-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.