MRS. NATYLON NICOLE ANDERSON OTR/L
NPI 1104975192
Occupational Therapist in Ridgeland, MS

Active since January 09, 2007Accepts Medicare Assignment
711 AVIGNON DR, RIDGELAND, MS 39157(601) 605-6777(601) 605-8869 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Natylon Nicole Anderson Otr/l NPPES

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

MRS. NATYLON NICOLE ANDERSON OTR/L (NPI 1104975192) is an individual occupational therapist in Ridgeland, Mississippi, licensed in Mississippi (OT1926) and active in the NPI registry since January 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1104975192
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. NATYLON NICOLE ANDERSONCredential: OTR/L
Location Address711 AVIGNON DRRidgeland, MS 39157-5120
Mailing Address1503 Lawndale DrTupelo, MS 38801-6133 · (662) 842-4320
Fax(601) 605-8869
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1104975192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MS · OT1926
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.
Also ListedOccupational Therapist · Environmental ModificationTaxonomy 225XE0001X · License OT1926 (MS)
711 AVIGNON DR, Ridgeland, MS 39157

Other Names 1

Former Name (1)Ms. Natylon Nicole Lee Otr

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Natylon Nicole Anderson Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193247435
PECOS Enrollment IDI20250317002357

Medicare Billing Reassignment

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

149 mi
Occupational Therapist
1503 LAWNDALE DR
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment

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 20

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

Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Speech-Language Pathologist
711 AVIGNON DR
RIDGELAND, MS 39157
Occupational Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapist
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157
Physical Therapy Assistant
711 AVIGNON DR
RIDGELAND, MS 39157

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 Natylon Anderson's NPI number?

The NPI number for Natylon Anderson is 1104975192. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Ms. Natylon Nicole Lee Otr.

Where is Natylon Anderson located?

Natylon Anderson practices at 711 Avignon Dr, Ridgeland, MS 39157. The listed phone number is (601) 605-6777.

What is Natylon Anderson's specialty?

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

Is Natylon Anderson enrolled in Medicare?

Yes. Natylon Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Natylon Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natylon Anderson reassigns Medicare benefits to Nolytan (Tupelo, 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 Natylon Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Natylon Anderson was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.