RAELYN TACKETT
NPI 1568317618
Occupational Therapist in Southaven, MS

Active since March 03, 2026
83 AIRWAYS PL, SOUTHAVEN, MS 38671(662) 349-8787 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raelyn Tackett NPPES

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

RAELYN TACKETT (NPI 1568317618) is an individual occupational therapist in Southaven, Mississippi, licensed in Tennessee (8471) and active in the NPI registry since March 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1568317618
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameRAELYN TACKETT
Location Address83 AIRWAYS PLSouthaven, MS 38671-5885
Mailing Address83 Airways PlSouthaven, MS 38671-5885
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1568317618 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 TN · 8471
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.
83 AIRWAYS PL, Southaven, MS 38671

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)

Raelyn Tackett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365902962
PECOS Enrollment IDI20260902003570

Medicare Billing Reassignment

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

Physical Therapist
3056 MILES JOHNSON PKWY
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 118 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 20

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

Speech-Language Pathologist
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Speech-Language Pathologist
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Physical Therapy Assistant
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Speech-Language Pathologist
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Physical Therapist
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Speech-Language Pathologist
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Occupational Therapy Assistant
83 AIRWAYS PL
SOUTHAVEN, MS 38671
Physical Therapist (Pediatrics)
83 AIRWAYS PL
SOUTHAVEN, MS 38671

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 Raelyn Tackett's NPI number?

The NPI number for Raelyn Tackett is 1568317618. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Raelyn Tackett located?

Raelyn Tackett practices at 83 Airways Pl, Southaven, MS 38671. The listed phone number is (662) 349-8787.

What is Raelyn Tackett's specialty?

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

Is Raelyn Tackett enrolled in Medicare?

Yes. Raelyn Tackett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raelyn Tackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raelyn Tackett reassigns Medicare benefits to Fox Rehabilitation Services Tn LLC (Spring Hill, TN). 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 Raelyn Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raelyn Tackett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Raelyn Tackett 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 Raelyn Tackett was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.