THADEUS MIXON
NPI 1366199465
Occupational Therapist in Chico, CA

Active since March 08, 2022Accepts Medicare Assignment
2836 MARIGOLD AVE, CHICO, CA 95973(607) 377-2867 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thadeus Mixon NPPES

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

THADEUS MIXON (NPI 1366199465) is an individual occupational therapist in Chico, California and active in the NPI registry since March 2022. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1366199465
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameTHADEUS MIXON
Location Address2836 MARIGOLD AVEChico, CA 95973-7624
Mailing Address746 Oyster Point DrReedville, VA 22539-3605 · (607) 377-2867
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1366199465 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
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.
2836 MARIGOLD AVE, Chico, CA 95973

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

Thadeus Mixon 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 ID9436661857
PECOS Enrollment IDI20250623001628

Medicare Billing Reassignment

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

Physical Therapy
35932 KENAI SPUR HWY
Soldotna, AK 99669
  • Reassigned Medicare billing, Alaska enrollment
  • 18 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.

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 Thadeus Mixon's NPI number?

The NPI number for Thadeus Mixon is 1366199465. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Thadeus Mixon located?

Thadeus Mixon practices at 2836 Marigold Ave, Chico, CA 95973. The listed phone number is (607) 377-2867.

What is Thadeus Mixon's specialty?

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

Is Thadeus Mixon enrolled in Medicare?

Yes. Thadeus Mixon 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 Thadeus Mixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thadeus Mixon reassigns Medicare benefits to Alaska Aquatic Therapy Inc. (Soldotna, AK). 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 Thadeus Mixon'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 Thadeus Mixon was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.