KRISTIAN A MIKELL OT
NPI 1104433168
Occupational Therapist in Hattiesburg, MS

Active since September 24, 2020
7 RIVERS DR, STE 10, HATTIESBURG, MS 39401(601) 909-5006(601) 909-5008 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Oct 27, 2020, Sep 25, 2020 (3 updates tracked since 2020).

About Kristian A Mikell Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIAN A MIKELL OT (NPI 1104433168) is an individual occupational therapist in Hattiesburg, Mississippi, licensed in Mississippi (OT-3829) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104433168
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKRISTIAN A MIKELLCredential: OT
Location Address7 RIVERS DR, STE 10Hattiesburg, MS 39401
Mailing Address1058 Holland AvePhiladelphia, MS 39350-9121 · (601) 650-0002 · Fax (601) 650-9902
Fax(601) 909-5008
Sole ProprietorNo
Enumeration DateSeptember 24, 2020
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1104433168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MS · OT-3829
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
7 RIVERS DR, Hattiesburg, MS 39401

Other Names 1

Former Name (1)Kristian A. Wilson Ot

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristian A Mikell Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kristian Mikell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
PERFORMANCE THERAPY, LLC, 921 W BEACON STREET
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7 RIVERS DR, SUITE 10 & 20
HATTIESBURG, MS 39401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristian Mikell's NPI number?

The NPI number for Kristian Mikell is 1104433168. It was assigned to this individual provider in the NPPES registry on September 24, 2020. The provider is also known as Kristian A. Wilson Ot.

Where is Kristian Mikell located?

Kristian Mikell practices at 7 Rivers Dr Ste 10, Hattiesburg, MS 39401. The listed phone number is (601) 909-5006.

What is Kristian Mikell's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kristian Mikell enrolled in Medicare?

Yes. Kristian Mikell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristian Mikell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Mikell reassigns Medicare benefits to Performance Therapy LLC (Philadelphia, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristian Mikell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristian Mikell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Kristian Mikell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristian Mikell was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.