Dalton Frederick, OTD, OTR/L
NPI 1811776701 · Occupational Therapist · Vancleave, MS
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dalton Frederick, OTD, OTR/L is a Occupational Therapist provider in Vancleave, MS (NPI 1811776701).
Provider details
- NPI number
- 1811776701
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- OT-4052 (MS)
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 tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,427 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 403 | $21 |
| Therapy Procedure Using Functional Activities97530 | 345 | $30 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 277 | $23 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 213 | $24 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 81 | $19 |
| Application of Ultrasound, Each 15 Minutes97035 | 49 | $10 |
Practice location
Mailing address
Additional practice locations (1)
- 15476 Dedeaux Rd Ste aGulfport, MS 39503-2637Phone: (228) 215-0700Fax: (228) 215-0788
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Dalton Frederick's NPI number?
- Dalton Frederick's National Provider Identifier (NPI) is 1811776701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dalton Frederick's specialty?
- Dalton Frederick is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dalton Frederick located?
- Dalton Frederick's practice location on file with NPPES is 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771.
- What is Dalton Frederick's phone number?
- The practice phone number listed in the NPPES registry for Dalton Frederick is (228) 215-2240.
- Does Dalton Frederick accept Medicare?
- Dalton Frederick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dalton Frederick's NPI active?
- Yes — Dalton Frederick's NPI (1811776701) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.